Provider Demographics
NPI:1386224095
Name:ALLEN, ERICA MARIE (DOULA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MARIE
Last Name:ALLEN
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:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-0472
Mailing Address - Country:US
Mailing Address - Phone:302-468-0976
Mailing Address - Fax:
Practice Address - Street 1:95 W CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-4411
Practice Address - Country:US
Practice Address - Phone:302-468-0976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula