Provider Demographics
NPI:1043022981
Name:MAGNINI, GRACE FREEBERG (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:FREEBERG
Last Name:MAGNINI
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:ELIZABETH
Other - Last Name:FREEBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3215 VON UHLIT RANCH RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6494
Mailing Address - Country:US
Mailing Address - Phone:707-239-8627
Mailing Address - Fax:
Practice Address - Street 1:3215 VON UHLIT RANCH RD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6494
Practice Address - Country:US
Practice Address - Phone:707-239-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGMA-107830374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula