Provider Demographics
NPI:1083010771
Name:THE CITY BEAUTIFUL DOULA
Entity Type:Organization
Organization Name:THE CITY BEAUTIFUL DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:MORNINGSTAR
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-319-1432
Mailing Address - Street 1:4101 BOB WHITE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-7793
Mailing Address - Country:US
Mailing Address - Phone:407-319-1432
Mailing Address - Fax:
Practice Address - Street 1:4101 BOB WHITE CT
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-7793
Practice Address - Country:US
Practice Address - Phone:407-319-1432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty