Whalio Doctors

NPI 1235490616

Serena Russell, LMCPM

Practitioner Midwife Santa Cruz, CA

Practice location

Address
530 Ocean St STE a, Santa Cruz, CA 95060-6628
Phone
(707) 484-3403
Fax
(831) 295-6706
Mailing address
PO Box 3409, Santa Cruz, CA 95063-3409

Registered specialties

Midwife Primary
Other Service Providers Taxonomy 176B00000X Licence 472 (CA)

Registry record

NPI
1235490616
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Jun 2012
Record last updated
18 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.