Provider Demographics
NPI:1548567845
Name:KEEFER, STEPHANIE T (CD(DONA))
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:T
Last Name:KEEFER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 HOPEWELL RD
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21028-1914
Mailing Address - Country:US
Mailing Address - Phone:410-734-4359
Mailing Address - Fax:
Practice Address - Street 1:216 HOPEWELL RD
Practice Address - Street 2:
Practice Address - City:CHURCHVILLE
Practice Address - State:MD
Practice Address - Zip Code:21028-1914
Practice Address - Country:US
Practice Address - Phone:410-734-4359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula