Provider Demographics
NPI:1144587130
Name:THURMAN, ELIZABETH GAYE (CD (DONA))
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GAYE
Last Name:THURMAN
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 1:3625 W BARSTOW AVE
Mailing Address - Street 2:APT #107
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6670
Mailing Address - Country:US
Mailing Address - Phone:615-686-4792
Mailing Address - Fax:
Practice Address - Street 1:3625 W BARSTOW AVE
Practice Address - Street 2:APT #107
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6670
Practice Address - Country:US
Practice Address - Phone:615-686-4792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula