Provider Demographics
NPI:1003150020
Name:WASHINGTON, NETHERLAND BETH (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:NETHERLAND
Middle Name:BETH
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 PICCARD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6066
Mailing Address - Country:US
Mailing Address - Phone:301-869-1097
Mailing Address - Fax:
Practice Address - Street 1:1717 PICCARD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6066
Practice Address - Country:US
Practice Address - Phone:301-869-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula