Provider Demographics
NPI:1427396571
Name:ADAMS MCCORMACK, MARGARET ROSE (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ROSE
Last Name:ADAMS MCCORMACK
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ROSE
Other - Last Name:MCCORMACK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM, WHNP
Mailing Address - Street 1:2725 PRINCE ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2635
Mailing Address - Country:US
Mailing Address - Phone:509-771-0369
Mailing Address - Fax:
Practice Address - Street 1:2725 PRINCE ST
Practice Address - Street 2:APT 2
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2635
Practice Address - Country:US
Practice Address - Phone:509-771-0369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201350003NP363LW0102X
WAAP60307622363LW0102X
CA22939363LW0102X
WAAP60308035367A00000X
OR201350002NP367A00000X
CA2040367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health