Provider Demographics
NPI:1073815841
Name:RANSOM, CHRISTINE D (LMT, DOULA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:D
Last Name:RANSOM
Suffix:
Gender:F
Credentials:LMT, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 PLYMOUTH AVE N
Mailing Address - Street 2:SUITE 113
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3675
Mailing Address - Country:US
Mailing Address - Phone:612-558-0275
Mailing Address - Fax:
Practice Address - Street 1:2100 PLYMOUTH AVE N
Practice Address - Street 2:SUITE 113
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3675
Practice Address - Country:US
Practice Address - Phone:612-558-0275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula