TRACY FAIRBANKS OBRIEN

SAINT PAUL, MN
NPI1437402237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MN  121)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: OR  10013604)
Enumeration Date2012-10-18
Last Update Date2024-11-26
Business Address
TRACY FAIRBANKS OBRIEN CNM
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 952-967-7619
Mailing Address
TRACY FAIRBANKS OBRIEN CNM
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: