Provider Demographics
NPI:1033709837
Name:DOULAS, ANGELA (CD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:DOULAS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14011 228TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-3980
Mailing Address - Country:US
Mailing Address - Phone:206-484-7980
Mailing Address - Fax:
Practice Address - Street 1:14011 228TH ST SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-3980
Practice Address - Country:US
Practice Address - Phone:206-484-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty