Loren Wipff Fouts, CNM | |
401 Bicentennial Way, Hospital, 3rd Floor, Labor And Delivery, Santa Rosa, CA 95403-2149 | |
(707) 393-4632 | |
(707) 393-4487 |
Full Name | Loren Wipff Fouts |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 401 Bicentennial Way, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225058076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 1745 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Loren Wipff Fouts, CNM 1016 Crest Dr, Santa Rosa, CA 95404-2217 Ph: (707) 494-0601 | Loren Wipff Fouts, CNM 401 Bicentennial Way, Hospital, 3rd Floor, Labor And Delivery, Santa Rosa, CA 95403-2149 Ph: (707) 393-4632 |
Elisabeth Niess, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405 Phone: 707-579-1102 Fax: 707-579-1386 | |
Renee Dettloff, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 583 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-539-1544 | |
Kirsten Eckert, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 Phone: 707-579-1102 | |
Ms. Suzanne Lynn Saunders, CNM, MPH Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405 Phone: 707-579-1102 Fax: 707-579-1386 | |
Sara Elizabeth Flores, CNM, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 583 Summerfield Rd, Santa Rosa, CA 95405 Phone: 707-539-1544 Fax: 707-586-0686 | |
Suzan Garcia-wells, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4632 Fax: 707-571-4487 |