Provider Demographics
NPI:1366031858
Name:SHELDON-MOLLINIER, STEPHANIE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SHELDON-MOLLINIER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:MOLLINIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:3327 BENTON ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-4419
Mailing Address - Country:US
Mailing Address - Phone:408-504-5972
Mailing Address - Fax:
Practice Address - Street 1:3327 BENTON ST
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-4419
Practice Address - Country:US
Practice Address - Phone:408-504-5972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
13603OtherDONA INTERNATIONAL