Individual
ELISABETH NIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
500 DOYLE PARK DR STE 103, SANTA ROSA, CA 95405-4559
(707) 579-1102
(707) 579-1386
Mailing address
500 DOYLE PARK DR STE 103, SANTA ROSA, CA 95405-4559
(707) 579-1102
(707) 579-1386
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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