Provider Demographics
NPI:1114482593
Name:TANSLEY, ANGEL (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:
Last Name:TANSLEY
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 1:4734 WOODBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5625
Mailing Address - Country:US
Mailing Address - Phone:314-681-0983
Mailing Address - Fax:
Practice Address - Street 1:4734 WOODBRIDGE DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-5625
Practice Address - Country:US
Practice Address - Phone:314-681-0983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-09
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
14204OtherDONA
GA1336116OtherDOULA