Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Virginia Fernwood

Individual provider Registered Nurse · NPI 1023883527

Elizabeth Virginia Fernwood is a Nurse Practitioner in Santa Rosa, California. Graduated from University of California, Davis School of Medicine in 2025, 1 year ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
1
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone: (707) 303-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95036062 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95133074 (CA)

Record details

NPI number1023883527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2023
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Santa Rosa