Provider Demographics
NPI:1710640545
Name:SWINSON, ALISHA DANIELLE (HOLISTIC DOULA)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:DANIELLE
Last Name:SWINSON
Suffix:
Gender:F
Credentials:HOLISTIC DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 FRIENDLY DR APT D
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23605-1224
Mailing Address - Country:US
Mailing Address - Phone:757-902-5129
Mailing Address - Fax:
Practice Address - Street 1:119 FRIENDLY DR APT D
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23605-1224
Practice Address - Country:US
Practice Address - Phone:757-902-5129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula