Grace Beougher, LM, CPM

Individual provider Active NPI Midwife · Fallbrook, CA

NPI 1669126348 · NPPES record last updated Feb 10, 2022

Key facts

NPI
1669126348
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
License
665 (CA)
Practice address
1018 Ranger Rd
Fallbrook, CA 92028-8213
Phone
(760) 310-2324
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife
Group: 193400000X SINGLE SPECIALTY GROUP
176B00000X 665 CA Yes

Addresses

Primary practice location

1018 Ranger Rd
Fallbrook, CA 92028-8213

Mailing address

1018 Ranger Rd
Fallbrook, CA 92028-8213
Phone (760) 310-2324

Other names

  • Grace Sales Former name

Other providers in Fallbrook, CA

All providers in Fallbrook, CA · Midwife in California

Sources for this page

Verify at the official NPI Registry.