Provider Demographics
NPI:1811629405
Name:BROWN, LINDA LORRAINE (TRAINED DOULA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LORRAINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:TRAINED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 PARK ST APT 1201
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1643
Mailing Address - Country:US
Mailing Address - Phone:785-341-3755
Mailing Address - Fax:
Practice Address - Street 1:615 PARK ST APT 1201
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1643
Practice Address - Country:US
Practice Address - Phone:785-341-3755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA374J00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula