Provider Demographics
NPI:1497537146
Name:BRANDT HOPPES, SAMANTHA (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:BRANDT HOPPES
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 1:2133 GLENTREE DR
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-3412
Mailing Address - Country:US
Mailing Address - Phone:505-363-6514
Mailing Address - Fax:
Practice Address - Street 1:2133 GLENTREE DR
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-3412
Practice Address - Country:US
Practice Address - Phone:505-363-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula