Healthcare Provider Details

I. General information

NPI: 1497413868
Provider Name (Legal Business Name): SARAH ELIZABETH WALDRON MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 WHISPERING TRL
IRVINE CA
92602-0800
US

IV. Provider business mailing address

124 WHISPERING TRL
IRVINE CA
92602-0800
US

V. Phone/Fax

Practice location:
  • Phone: 209-329-3021
  • Fax:
Mailing address:
  • Phone: 209-329-3021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number95020532
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number236230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: