Provider Demographics
NPI:1275158073
Name:NDULU, SALIMA KIM (BIRTH/PP DOULA)
Entity Type:Individual
Prefix:MS
First Name:SALIMA
Middle Name:KIM
Last Name:NDULU
Suffix:
Gender:F
Credentials:BIRTH/PP DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 RICKENBACKER DR
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-6532
Mailing Address - Country:US
Mailing Address - Phone:754-204-7958
Mailing Address - Fax:
Practice Address - Street 1:46 RICKENBACKER DR
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-6532
Practice Address - Country:US
Practice Address - Phone:754-204-7958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula