Mitzi Carolina Fogg
R.N., M.S.N., F.N.P. | Nurse Practitioner - Family
1801 E Cotati Ave, Rohnert Park
California, 94928-3609
707-664-2921
Mitzi Carolina Fogg is a Rohnert Park, California based nurse practitioner who is specialized as Family nurse. Active license number of Mitzi Carolina Fogg is 633049 for Family in California. Her current practice location is 1801 E Cotati Ave, Rohnert Park. Patients can reach her at 707-664-2921 or can fax her at 707-664-2925. Mitzi Carolina Fogg is R.N., M.S.N., F.N.P. with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1881802148.
Mitzi Carolina Fogg delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mitzi Carolina Fogg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mitzi Carolina Fogg |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | R.N., M.S.N., F.N.P. |
| Practice Address: | 1801 E Cotati Ave, Rohnert Park,
California, 94928-3609 |
| Phone: | 707-664-2921 |
| Fax: | 707-664-2925 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1881802148 |
| NPI Enumeration Date: | 18 May, 2007 |
| NPI Last Update On: | 25 Oct, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitzi Carolina Fogg are as mentioned below.
| License Number | Specialization | State | Status | |
| 633049 | Family | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mitzi Carolina Fogg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1881802148 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mitzi Carolina Fogg
3538 Skillman Ln,
Petaluma, California |
| Zip: | 94952-1208 |
| Phone Number: | 415-827-0767 |
Patients can reach Mitzi Carolina Fogg at
1801 E Cotati Ave, Rohnert Park, California or can
call to book an appointment on 707-664-2921.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.