Provider Demographics
NPI:1134521479
Name:HARTFIELD, TESSA C (CNM,WHNP)
Entity type:Individual
Prefix:MS
First Name:TESSA
Middle Name:C
Last Name:HARTFIELD
Suffix:
Gender:F
Credentials:CNM,WHNP
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:CAMERON
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40291 BELLEVUE DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-7562
Mailing Address - Country:US
Mailing Address - Phone:951-440-3971
Mailing Address - Fax:
Practice Address - Street 1:40291 BELLEVUE DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-7562
Practice Address - Country:US
Practice Address - Phone:951-440-3971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000904363LW0102X
CA235656367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health