Provider Demographics
NPI:1013699552
Name:SMITH, KAREN VM (DOULA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:VM
Last Name:SMITH
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06607-1033
Mailing Address - Country:US
Mailing Address - Phone:646-500-9010
Mailing Address - Fax:
Practice Address - Street 1:166 4TH ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06607-1033
Practice Address - Country:US
Practice Address - Phone:646-500-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula