Provider Demographics
NPI:1003698671
Name:DUREN, ARDENA FRANCINE (POSTPARTUM DOULA)
Entity Type:Individual
Prefix:
First Name:ARDENA
Middle Name:FRANCINE
Last Name:DUREN
Suffix:
Gender:F
Credentials:POSTPARTUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-2459
Mailing Address - Country:US
Mailing Address - Phone:231-557-5383
Mailing Address - Fax:231-563-6440
Practice Address - Street 1:1624 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-2459
Practice Address - Country:US
Practice Address - Phone:231-557-5383
Practice Address - Fax:231-563-6440
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula