Healthcare Provider Details

I. General information

NPI: 1588582886
Provider Name (Legal Business Name): ANA FERNANDA FIERRO MORA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 SPRING ST
FORTUNA CA
95540-2621
US

IV. Provider business mailing address

446 SPRING ST
FORTUNA CA
95540-2621
US

V. Phone/Fax

Practice location:
  • Phone: 707-362-6682
  • Fax:
Mailing address:
  • Phone: 707-362-6682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: