Provider Demographics
NPI:1114679826
Name:SMITH, DAWN C (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:C
Last Name:SMITH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:C
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:6300 GALLERY ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3862
Mailing Address - Country:US
Mailing Address - Phone:301-254-2553
Mailing Address - Fax:
Practice Address - Street 1:6300 GALLERY ST
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3862
Practice Address - Country:US
Practice Address - Phone:301-254-2553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula