Provider Demographics
NPI:1598377996
Name:HART, VERONICA COOKY (DOULA)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:COOKY
Last Name:HART
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 1:608 W 46TH PL
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-2208
Mailing Address - Country:US
Mailing Address - Phone:918-330-6276
Mailing Address - Fax:
Practice Address - Street 1:608 W 46TH PL
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-2208
Practice Address - Country:US
Practice Address - Phone:918-330-6276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula