Most Relevant Information
Provider Data
| NPI Number: | 1003331323 |
| Provider Name: | ELISABETH NIESS CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
500 DOYLE PARK DR STE 103
SANTA ROSA
CA
954054559
Practice Location Phone/Fax
| Phone: | 7075791102 |
| Fax: | 7075791386 |
Provider Mailing Location
500 DOYLE PARK DR STE 103
SANTA ROSA
CA
954054559
Provider Mailing Phone/Fax
| Phone: | 7075791102 |
| Fax: | 7075791386 |