Provider Demographics
NPI:1124357694
Name:DURFEE, CEDAR ELLIOT (MSN, ARNP, CNM, CLC)
Entity Type:Individual
Prefix:
First Name:CEDAR
Middle Name:ELLIOT
Last Name:DURFEE
Suffix:
Gender:M
Credentials:MSN, ARNP, CNM, CLC
Other - Prefix:
Other - First Name:CE
Other - Middle Name:
Other - Last Name:DURFEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP, CLC, CD(DONA)
Mailing Address - Street 1:6002 WESTGATE BLVD STE 274
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2571
Mailing Address - Country:US
Mailing Address - Phone:253-470-8047
Mailing Address - Fax:
Practice Address - Street 1:6002 WESTGATE BLVD STE 274
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2571
Practice Address - Country:US
Practice Address - Phone:253-509-2960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-13
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60971515163W00000X
WAAP61190774363L00000X, 367A00000X
374J00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No374J00000XNursing Service Related ProvidersDoula