Individual
SUSAN G REGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMW
Contact information
Practice address
314 W JUNIPERO ST, SANTA BARBARA, CA 93105-4305
(805) 682-7109
Mailing address
PO BOX 30031, SANTA BARBARA, CA 93130-0031
(805) 682-7109
(805) 682-7119
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW764
STATE LICENSE
CA
Enumeration date
06/14/2007
Last updated
07/08/2007
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