Provider Demographics
NPI:1942951884
Name:KLEIN, ALEXANDRA D (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:D
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 MOONCREST LN
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3713
Mailing Address - Country:US
Mailing Address - Phone:805-363-3693
Mailing Address - Fax:
Practice Address - Street 1:273 MOONCREST LN
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-3713
Practice Address - Country:US
Practice Address - Phone:805-363-3693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty