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Individual

MRS. KAITLYN SIERRA ROUTZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM, WH-NP

Contact information

Practice address
112 LA CASA VIA, WALNUT CREEK, CA 94598-3091
(925) 939-3000
Mailing address
112 LA CASA VIA STE 300, WALNUT CREEK, CA 94598-3059
(925) 239-0012

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95022189
CA
364S00000X
Clinical Nurse Specialist
4780
CA
367A00000X
Advanced Practice Midwife
Primary
236286
CA

Other

Enumeration date
08/19/2022
Last updated
08/19/2022
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