Provider Demographics
NPI:1760899926
Name:SPILLER, RANDI KARA (DOULA)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:KARA
Last Name:SPILLER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:KARA
Other - Last Name:WALDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DEVELOPMENTAL THERAP
Mailing Address - Street 1:1 WAVENEY WAY
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-789-9563
Mailing Address - Fax:508-634-6984
Practice Address - Street 1:1 WAVENEY WAY
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-789-9563
Practice Address - Fax:508-634-6984
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula