Provider Demographics
NPI:1942977103
Name:ORTIZ, EMERALD A (DOULA, MCHS, CBE)
Entity Type:Individual
Prefix:
First Name:EMERALD
Middle Name:A
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:DOULA, MCHS, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 DIVISION ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4318
Mailing Address - Country:US
Mailing Address - Phone:508-740-5096
Mailing Address - Fax:
Practice Address - Street 1:276 DIVISION ST APT 2
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4318
Practice Address - Country:US
Practice Address - Phone:508-740-5096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula