Provider Demographics
NPI:1376174888
Name:COLE, CHRISTIE A (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:A
Last Name:COLE
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 N CROFT AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4270
Mailing Address - Country:US
Mailing Address - Phone:310-428-4198
Mailing Address - Fax:
Practice Address - Street 1:832 N CROFT AVE APT 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-4270
Practice Address - Country:US
Practice Address - Phone:310-428-4198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula