Most Relevant Information
Provider Data
| NPI Number: | 1003649054 |
| Provider Name: | JOANN ELSIE NIEBUR RN, CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95388128 |
Most Important Dates
| Enumeration Date: | 08/24/2024 |
| Last Updated: | 08/24/2024 |
Provider Practice Location
55 BRENNAN ST RM 201
WATSONVILLE
CA
950764342
Practice Location Phone/Fax
| Phone: | 8317260011 |
| Fax: |
Provider Mailing Location
1570 SOQUEL DR STE 3&4
SANTA CRUZ
CA
950651707
Provider Mailing Phone/Fax
| Phone: | 8314752200 |
| Fax: |