Provider Demographics
NPI:1558652206
Name:HOLBROOK, MELIEA LYNN (CD(DONA))
Entity Type:Individual
Prefix:MS
First Name:MELIEA
Middle Name:LYNN
Last Name:HOLBROOK
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 1:7425 SADDLE TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6141
Mailing Address - Country:US
Mailing Address - Phone:704-258-7649
Mailing Address - Fax:
Practice Address - Street 1:7425 SADDLE TRAIL LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-6141
Practice Address - Country:US
Practice Address - Phone:704-258-7649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula