Healthcare Provider Details

I. General information

NPI: 1881938892
Provider Name (Legal Business Name): MARY ELIZABETH CLAASSEN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2416 CASTILLO ST STE A
SANTA BARBARA CA
93105-5303
US

IV. Provider business mailing address

PO BOX 689
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-324-9400
  • Fax: 805-749-2922
Mailing address:
  • Phone: 805-324-9400
  • Fax: 805-749-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2017
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: