Provider Demographics
NPI:1942578760
Name:DAVIS, MALINDA BETH (CD(DONA))
Entity Type:Individual
Prefix:
First Name:MALINDA
Middle Name:BETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 HUDSON RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12118-3806
Mailing Address - Country:US
Mailing Address - Phone:315-408-7376
Mailing Address - Fax:
Practice Address - Street 1:974 HUDSON RIVER RD
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-3806
Practice Address - Country:US
Practice Address - Phone:315-408-7376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula