Provider Demographics
NPI:1427773449
Name:WERNER, CAELI REGINA (CPM)
Entity type:Individual
Prefix:
First Name:CAELI
Middle Name:REGINA
Last Name:WERNER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 YEARY SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:STEELVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65565-5082
Mailing Address - Country:US
Mailing Address - Phone:573-241-0578
Mailing Address - Fax:636-466-8884
Practice Address - Street 1:3010 BEAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3543
Practice Address - Country:US
Practice Address - Phone:573-241-0578
Practice Address - Fax:636-466-8884
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
CPM22110144176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife