Healthcare Provider Details

I. General information

NPI: 1770427247
Provider Name (Legal Business Name): DANIELLE APRIL ANDERSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE APRIL BOOTH

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 BOTELHO DR APT 323
WALNUT CREEK CA
94596-8572
US

IV. Provider business mailing address

1700 BOTELHO DR APT 323
WALNUT CREEK CA
94596-8572
US

V. Phone/Fax

Practice location:
  • Phone: 925-895-7624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236626
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: