Provider Demographics
NPI:1598095655
Name:RICHARDS, DORAN EMILYNE (CPM)
Entity Type:Individual
Prefix:
First Name:DORAN
Middle Name:EMILYNE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-1941
Mailing Address - Country:US
Mailing Address - Phone:540-295-2186
Mailing Address - Fax:540-465-9507
Practice Address - Street 1:452 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-1941
Practice Address - Country:US
Practice Address - Phone:540-295-2186
Practice Address - Fax:540-465-9507
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife