Provider Demographics
NPI:1609567742
Name:POWERS, KATRINA R (DOULA)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:R
Last Name:POWERS
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 1:627 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-3541
Mailing Address - Country:US
Mailing Address - Phone:559-704-3004
Mailing Address - Fax:
Practice Address - Street 1:627 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-3541
Practice Address - Country:US
Practice Address - Phone:559-704-3004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula