Amber Forest, CNM

Individual provider Active NPI Advanced Practice Midwife · Mariposa, CA

NPI 1770168577 · NPPES record last updated Sep 12, 2022

Key facts

NPI
1770168577
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
236168 (CA)
Practice address
3353A Windy Hollow Rd
Mariposa, CA 95338-9204
Phone
(209) 769-9814
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
236168CAMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236168 CA Yes

Addresses

Primary practice location

3353A Windy Hollow Rd
Mariposa, CA 95338-9204

Mailing address

PO Box 1266
Mariposa, CA 95338-1266
Phone (209) 769-9814

Other names

  • Amber Forest Other name

Other providers in Mariposa, CA

All providers in Mariposa, CA · Advanced Practice Midwife in California

Sources for this page

Verify at the official NPI Registry.