Provider Demographics
NPI:1598470130
Name:MILLER, CAROLYN (CERTIFIED DOULA)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 NUTHALL DR UNIT 108
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3745
Mailing Address - Country:US
Mailing Address - Phone:203-241-9889
Mailing Address - Fax:
Practice Address - Street 1:5212 NUTHALL DR UNIT 108
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-3745
Practice Address - Country:US
Practice Address - Phone:203-241-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula