Serena Russell | Santa Cruz, CA • PECOS Search

Serena Russell

Midwife

Other Service Providers

530 Ocean St Ste A, Santa Cruz, CA 95060-6628

PECOS Enrollment

Based on the most recent information from CMS, provider Serena Russell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1235490616
Provider Type
Individual
Full Name
Russell, Serena
Credential
LM, CPM

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/2/2012
Last Updated
11/18/2023

Contact Information

Practice Location

530 Ocean St Ste A, Santa Cruz, CA 95060-6628

(831) 295-6706

Mailing Location

PO Box 3409, Santa Cruz, CA 95063-3409

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 176B00000X Primary	Description Midwife Other Service Providers	License 472 California