Dettloff, Renee

Dettloff, Renee is an individual health care provider with primary practice located at 583 Summerfield Rd , Santa Rosa CA 95405-5239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dettloff, Renee can be contacted via phone (707) 539-1544.

Contact Information

Primary practice address
583 Summerfield Rd Santa Rosa CA 95405-5239
Phone: (707) 539-1544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 236013 California

Profile Details

NPI number 1285170951
LBN Legal business name Dettloff, Renee
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2017
Last updated Jan 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers