Provider Demographics
NPI:1265023410
Name:PLAVIN, SIANNA BETH LANGLEY (LM, CPM)
Entity Type:Individual
Prefix:
First Name:SIANNA
Middle Name:BETH LANGLEY
Last Name:PLAVIN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4677 VALLEY EAST BLVD, SUITE 2
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521
Mailing Address - Country:US
Mailing Address - Phone:707-633-3009
Mailing Address - Fax:
Practice Address - Street 1:4677 VALLEY EAST BLVD, SUITE 2
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521
Practice Address - Country:US
Practice Address - Phone:707-633-3009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-31
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife