Estevo, Dana Louise

Estevo, Dana Louise is an individual health care provider with primary practice located at 3309 Renner Dr , Fortuna CA 95540-3119. 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. Estevo, Dana Louise can be contacted via phone (707) 725-6108.

Contact Information

Primary practice address
3309 Renner Dr Fortuna CA 95540-3119
Phone: (707) 725-6108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1968 California

Profile Details

NPI number 1730412941
LBN Legal business name Estevo, Dana Louise
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2009
Last updated May 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730412941 NPPES
California MEDICAID 058957

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