Individual provider · Type 1 NPI

Mitzi Carolina Fogg, R.N., M.S.N., F.N.P.

Family Nurse Practitioner · Rohnert Park, CA

NPI number 1881802148 Active

Practice location

1801 E Cotati Ave
Rohnert Park, CA 94928-3609

Fax (707) 664-2925

Mailing address

3538 Skillman Ln
Petaluma, CA 94952-1208

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X633049 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1881802148

Mitzi Carolina Fogg, R.N., M.S.N., F.N.P.'s National Provider Identifier is 1881802148, issued on May 18, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rohnert Park, CA. The record was last updated on Oct 25, 2022.