Provider Demographics
NPI:1851971758
Name:ADAMS, VICTORIA S (DONA INTL DOULA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:S
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DONA INTL DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21332 DAVIDSON ST
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8553
Mailing Address - Country:US
Mailing Address - Phone:434-944-2021
Mailing Address - Fax:
Practice Address - Street 1:21332 DAVIDSON ST
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8553
Practice Address - Country:US
Practice Address - Phone:434-944-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty