Provider Demographics
NPI:1316149784
Name:KAZMIER, MICHELE MANETTA (CNM, MS, ARNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:MANETTA
Last Name:KAZMIER
Suffix:
Gender:F
Credentials:CNM, MS, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WHARTON RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92140-5004
Mailing Address - Country:US
Mailing Address - Phone:619-808-3012
Mailing Address - Fax:760-692-4812
Practice Address - Street 1:617 SAXONY PL STE 103
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2797
Practice Address - Country:US
Practice Address - Phone:619-345-4367
Practice Address - Fax:760-692-4812
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW1992176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife