NPI 1285170951

Renee Dettloff, CNM

Practitioner Advanced Practice Midwife Santa Rosa, CA

Practice location

Address: 583 Summerfield Rd, Santa Rosa, CA 95405-5239
Phone: (707) 539-1544
Mailing address: 1409 Yarberry Ln, Petaluma, CA 94954-1601

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 236013 (CA)

Other Advanced Practice Midwife providers in California →

Registry record

NPI: 1285170951
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2017
Record last updated: 24 Jan 2019

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.