Provider Demographics
NPI:1700187077
Name:WHITTED, WILLETTE D (CD(DONA))
Entity Type:Individual
Prefix:MS
First Name:WILLETTE
Middle Name:D
Last Name:WHITTED
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 OAK PARK AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3954
Mailing Address - Country:US
Mailing Address - Phone:612-251-5317
Mailing Address - Fax:
Practice Address - Street 1:1601 OAK PARK AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3954
Practice Address - Country:US
Practice Address - Phone:612-251-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula