Provider Demographics
NPI:1841608171
Name:NONNENKAMP, JULIE (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:NONNENKAMP
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6544 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-2654
Mailing Address - Country:US
Mailing Address - Phone:314-817-6616
Mailing Address - Fax:
Practice Address - Street 1:6544 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-2654
Practice Address - Country:US
Practice Address - Phone:314-817-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula