Healthcare Provider Details

I. General information

NPI: 1508781386
Provider Name (Legal Business Name): AUBREY SEVERNE LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24433 DERSCH RD
ANDERSON CA
96007-8004
US

IV. Provider business mailing address

24433 DERSCH RD
ANDERSON CA
96007-8004
US

V. Phone/Fax

Practice location:
  • Phone: 530-407-2387
  • Fax:
Mailing address:
  • Phone: 530-407-2387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberLM796
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: