Healthcare Provider Details

I. General information

NPI: 1720189962
Provider Name (Legal Business Name): CAROLE PARONE GARRETT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLE PARONE FEINMAN CNM

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3317 CHANATE RD SUITE 2C
SANTA ROSA CA
95404-1737
US

IV. Provider business mailing address

15620 HEALDSBURG AVE
HEALDSBURG CA
95448-9617
US

V. Phone/Fax

Practice location:
  • Phone: 707-570-1130
  • Fax: 707-571-2478
Mailing address:
  • Phone: 707-473-4531
  • Fax: 707-473-4559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: