Provider Demographics
NPI:1346585353
Name:SMITH, ERICA E (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:E
Last Name:SMITH
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 1:16305 SW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-9121
Mailing Address - Country:US
Mailing Address - Phone:405-227-5339
Mailing Address - Fax:
Practice Address - Street 1:16305 SW 23RD ST
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-9121
Practice Address - Country:US
Practice Address - Phone:405-227-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula