Provider Demographics
NPI:1376312728
Name:BROWN BABY DOULA
Entity Type:Organization
Organization Name:BROWN BABY DOULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LATWANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLISSETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-415-1827
Mailing Address - Street 1:280 WASHINGTON AVE UNIT 611
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98337-1968
Mailing Address - Country:US
Mailing Address - Phone:605-415-1827
Mailing Address - Fax:
Practice Address - Street 1:132 CHIEF JUSTICE CUSHING HWY STE 70
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1259
Practice Address - Country:US
Practice Address - Phone:605-415-1827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty