Provider Demographics
NPI:1790436780
Name:WOODS, DARTAJA ARTICE (DOULA)
Entity Type:Individual
Prefix:
First Name:DARTAJA
Middle Name:ARTICE
Last Name:WOODS
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 1:4206 WILLOW GLEN LN APT D
Mailing Address - Street 2:
Mailing Address - City:BEECH GROVE
Mailing Address - State:IN
Mailing Address - Zip Code:46107-2725
Mailing Address - Country:US
Mailing Address - Phone:317-258-1965
Mailing Address - Fax:
Practice Address - Street 1:4206 WILLOW GLEN LN APT D
Practice Address - Street 2:
Practice Address - City:BEECH GROVE
Practice Address - State:IN
Practice Address - Zip Code:46107-2725
Practice Address - Country:US
Practice Address - Phone:317-258-1965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula