Provider Demographics
NPI:1376165126
Name:FINAZZO, SUSAN BARRETT (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:BARRETT
Last Name:FINAZZO
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 SW ABINGDON AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2868
Mailing Address - Country:US
Mailing Address - Phone:407-973-4620
Mailing Address - Fax:
Practice Address - Street 1:998 SW ABINGDON AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2868
Practice Address - Country:US
Practice Address - Phone:407-973-4620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula