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

Nina Rose Basker, LM

Individual provider Midwife · NPI 1720842669

Nina Rose Basker, LM is a Midwife in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

616 Petaluma Blvd N
Petaluma, CA 94952-2847
Phone: (415) 858-8220
Fax: (707) 241-3040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 731 (CA)

Record details

NPI number1720842669
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM
Sole proprietorYes
NPI enumeratedFebruary 12, 2024
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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