Provider Demographics
NPI:1033436142
Name:TERHUNE, MARIANNA J (CD, CMA, LS, CBE)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNA
Middle Name:J
Last Name:TERHUNE
Suffix:
Gender:F
Credentials:CD, CMA, LS, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 DITTY AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-2637
Mailing Address - Country:US
Mailing Address - Phone:707-482-6265
Mailing Address - Fax:
Practice Address - Street 1:1640 DITTY AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2637
Practice Address - Country:US
Practice Address - Phone:707-482-6265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X-DOULA-374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula