Provider Demographics
NPI:1376315739
Name:TURNER-WALTON, FELICA MONIQUE (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:FELICA
Middle Name:MONIQUE
Last Name:TURNER-WALTON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4689 NORA LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5903
Mailing Address - Country:US
Mailing Address - Phone:608-400-1952
Mailing Address - Fax:
Practice Address - Street 1:6601 GRAND TETON PLZ STE A2
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1078
Practice Address - Country:US
Practice Address - Phone:608-400-1952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI175T00000X
385H00000X, 385HR2060X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No175T00000XOther Service ProvidersPeer Specialist
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child