Provider Demographics
NPI:1992067896
Name:WOMENS CIRCLE ANGELA KREIDER REGISTERED NURSING CERTIFIED MIDWI
Entity type:Organization
Organization Name:WOMENS CIRCLE ANGELA KREIDER REGISTERED NURSING CERTIFIED MIDWI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KREIDER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MSN
Authorized Official - Phone:530-751-2273
Mailing Address - Street 1:1003 PLUMAS ST
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4107
Mailing Address - Country:US
Mailing Address - Phone:530-751-2273
Mailing Address - Fax:530-751-2274
Practice Address - Street 1:1003 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4107
Practice Address - Country:US
Practice Address - Phone:530-751-2273
Practice Address - Fax:530-751-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANM1785261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center