Individual
MS. ROSANNE GEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP, IBCLC
Contact information
Practice address
3630 ENTERPRISE ST, SAN DIEGO, CA 92110-3212
(619) 299-0840
(619) 291-5098
Mailing address
5263 BEAUMONT WAY, SANTA ROSA, CA 95409-2861
(707) 538-4781
(707) 539-0686
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
NMW744
CA
367A00000X
Advanced Practice Midwife
Primary
NMW744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW744
NURSE-MIDWIFE LICENCE NUM
CA
Enumeration date
07/07/2005
Last updated
02/10/2020
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