Healthcare Provider Details

I. General information

NPI: 1598037053
Provider Name (Legal Business Name): TERESA MARIE NAVA-ANDERSON PHD, CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERI NAVA-ANDERSON

II. Dates (important events)

Enumeration Date: 01/30/2012
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W LA CANADA AVE
MOUNTAIN HOUSE CA
95391-1155
US

IV. Provider business mailing address

700 W LA CANADA AVE
MOUNTAIN HOUSE CA
95391-1155
US

V. Phone/Fax

Practice location:
  • Phone: 209-833-7629
  • Fax:
Mailing address:
  • Phone: 209-833-7629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: