MEDICARE: LUJUANA VANESSA KNUDSEN CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	236098	CA

General Provider Information

NPI Number	:	1467083238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUJUANA VANESSA KNUDSEN CNM

Provider Business Mailing Address
First Line	:	PO BOX 255228
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95865-5228
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:	916-854-6769

Provider Business Practice Location Address
First Line	:	2725 CAPITOL AVE DEPT 304
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-6006
Country	:	US
Telephone Number	:	916-887-7830
Fax Number	:	916-262-9420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2020
Last Update Date	:	02/23/2026

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