Provider Demographics
NPI:1770819732
Name:ORCHARD, BECKY KATHLEEN
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:KATHLEEN
Last Name:ORCHARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BECKY
Other - Middle Name:KATHLEEN
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOULA CD (DONA)
Mailing Address - Street 1:8945 N RAMSGATE LN
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-7971
Mailing Address - Country:US
Mailing Address - Phone:208-818-3629
Mailing Address - Fax:
Practice Address - Street 1:8945 N RAMSGATE LN
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-7971
Practice Address - Country:US
Practice Address - Phone:208-818-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula