Most Relevant Information
Provider Data
| NPI Number: | 1003589326 |
| Provider Name: | MADELYN SPRING PETERSON CARMONA CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | 236215 |
Most Important Dates
| Enumeration Date: | 08/01/2021 |
| Last Updated: | 03/05/2023 |
Provider Practice Location
2 H ST
SAN RAFAEL
CA
949011700
Practice Location Phone/Fax
| Phone: | 9258875247 |
| Fax: |
Provider Mailing Location
560 2ND ST
RICHMOND
CA
948012604
Provider Mailing Phone/Fax
| Phone: | 5034071702 |
| Fax: |