Provider Demographics
NPI:1437825395
Name:COLES, AMANDA (DOULA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:COLES
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 1:1108 GUILFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3807
Mailing Address - Country:US
Mailing Address - Phone:240-472-2868
Mailing Address - Fax:
Practice Address - Street 1:1108 GUILFORD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3807
Practice Address - Country:US
Practice Address - Phone:240-472-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula