Provider Demographics
NPI:1760851158
Name:MILES, ABIGAIL (CD(DONA), CLS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:CD(DONA), CLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 SCARLET ST # 2B
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-3614
Mailing Address - Country:US
Mailing Address - Phone:317-679-7968
Mailing Address - Fax:
Practice Address - Street 1:1223 SCARLET ST # 2B
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-3614
Practice Address - Country:US
Practice Address - Phone:317-679-7968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula