Provider Demographics
NPI:1154296564
Name:MIZE, WILLOW CATHERINE
Entity type:Individual
Prefix:MISS
First Name:WILLOW
Middle Name:CATHERINE
Last Name:MIZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 COUNTRY MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2733
Mailing Address - Country:US
Mailing Address - Phone:805-627-4057
Mailing Address - Fax:
Practice Address - Street 1:4332 COUNTRY MEADOW ST
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-2733
Practice Address - Country:US
Practice Address - Phone:805-627-4057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula