Provider Demographics
NPI:1821327388
Name:ASTWOOD, BRANDY (DOULA)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:ASTWOOD
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 1:8 COURT ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-2306
Mailing Address - Country:US
Mailing Address - Phone:209-304-8495
Mailing Address - Fax:
Practice Address - Street 1:8 COURT ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-2306
Practice Address - Country:US
Practice Address - Phone:209-304-8495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-12
Last Update Date:2009-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula