Provider Demographics
NPI:1730490723
Name:CHISENSKI, AMY MICHELLE (DOULA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:CHISENSKI
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 1:2024 W CALLE DEL NORTE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-8315
Mailing Address - Country:US
Mailing Address - Phone:480-857-3108
Mailing Address - Fax:
Practice Address - Street 1:2024 W CALLE DEL NORTE DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-8315
Practice Address - Country:US
Practice Address - Phone:480-862-4104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula