Provider Demographics
NPI:1114540168
Name:EDGHILL, BROOKE (LABOR DOULA)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:EDGHILL
Suffix:
Gender:F
Credentials:LABOR DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 W 24TH ST APT 12D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2242
Mailing Address - Country:US
Mailing Address - Phone:347-779-4788
Mailing Address - Fax:
Practice Address - Street 1:2970 W 24TH ST APT 12D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2242
Practice Address - Country:US
Practice Address - Phone:347-779-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No174N00000XOther Service ProvidersLactation Consultant, Non-RN