Whalio Doctors

NPI 1457427940

Doris Therese Crisostomo Untalan, CNM

Practitioner Advanced Practice Midwife San Leandro, CA

Practice location

Address
2500 Merced Street, San Leandro, CA 94577-4201
Phone
(510) 454-1000

Registered specialties

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence NMW 1079 (CA)

Registry record

NPI
1457427940
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Nov 2006
Record last updated
11 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.