Provider Demographics
NPI:1598461642
Name:TURNER, STACIA (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:STACIA
Middle Name:
Last Name:TURNER
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 1:11805 CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4721
Mailing Address - Country:US
Mailing Address - Phone:480-390-2152
Mailing Address - Fax:
Practice Address - Street 1:11805 CHARLES RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4721
Practice Address - Country:US
Practice Address - Phone:480-390-2152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula