Annie Thor, CNM | |
7210 Murray Dr, Stockton, CA 95210-3339 | |
(209) 373-2800 | |
(209) 373-2878 |
Full Name | Annie Thor |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 7210 Murray Dr, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750831178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 235820 (California) | Primary |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Entity Name | Community Medical Centers, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
---|---|
Annie Thor, CNM 7210 Murray Dr, Stockton, CA 95210-3339 Ph: (209) 373-2800 | Annie Thor, CNM 7210 Murray Dr, Stockton, CA 95210-3339 Ph: (209) 373-2800 |
Beth Gleason Mcmanis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1041 Brookside Rd, Stockton, CA 95211 Phone: 209-946-2315 | |
Michelle Mclean, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10503 Silent Grove Ct, Stockton, CA 95209 Phone: 209-815-7228 |