Individual
ELIZABETH VIRGINIA FERNWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95133074
CA
363L00000X
Nurse Practitioner
Primary
95036062
CA
Other
Enumeration date
11/15/2023
Last updated
08/22/2025
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