| Elisabeth Niess, CNM | |
|
500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 | |
| (707) 579-1102 | |
| (707) 579-1386 |
| Full Name | Elisabeth Niess |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 500 Doyle Park Dr Ste 103, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003331323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Niess, CNM 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 Ph: (707) 579-1102 | Elisabeth Niess, CNM 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 Ph: (707) 579-1102 |
Loren Wipff Fouts, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Hospital, 3rd Floor, Labor And Delivery, Santa Rosa, CA 95403 Phone: 707-393-4632 Fax: 707-393-4487 | |
Renee Dettloff, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 583 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-539-1544 | |
Kirsten Eckert, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 Phone: 707-579-1102 | |
Ms. Suzanne Lynn Saunders, CNM, MPH Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405 Phone: 707-579-1102 Fax: 707-579-1386 | |
Sara Elizabeth Flores, CNM, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 583 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-539-1544 Fax: 707-586-0686 | |
Suzan Garcia-wells, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4632 Fax: 707-571-4487 |