Healthcare Provider Details

I. General information

NPI: 1265345953
Provider Name (Legal Business Name): ISABEL ANDERSEN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 COTTAGE WAY STE G2-34729
SACRAMENTO CA
95825-1474
US

IV. Provider business mailing address

3400 COTTAGE WAY STE G2-34729
SACRAMENTO CA
95825-1474
US

V. Phone/Fax

Practice location:
  • Phone: 408-905-7483
  • Fax:
Mailing address:
  • Phone:
  • 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: