Provider Demographics
NPI:1073817961
Name:CORREIA, DEB (CD(DONA))
Entity Type:Individual
Prefix:
First Name:DEB
Middle Name:
Last Name:CORREIA
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9311 VALHALLA WAY
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-1634
Mailing Address - Country:US
Mailing Address - Phone:206-618-1747
Mailing Address - Fax:
Practice Address - Street 1:9311 VALHALLA WAY
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-1634
Practice Address - Country:US
Practice Address - Phone:206-618-1747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula