Provider Demographics
NPI:1982219077
Name:ASCENSO, LAURA (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ASCENSO
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 1:16531 BAYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-8133
Mailing Address - Country:US
Mailing Address - Phone:401-338-2968
Mailing Address - Fax:
Practice Address - Street 1:16531 BAYRIDGE DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-8133
Practice Address - Country:US
Practice Address - Phone:401-338-2968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula