Provider Demographics
NPI:1023344157
Name:SANFILIPPO, JOHANNA (CD(DONA), CCE, BSSW)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:SANFILIPPO
Suffix:
Gender:F
Credentials:CD(DONA), CCE, BSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 TALCOTT RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16441-7101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:225 TALCOTT RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:PA
Practice Address - Zip Code:16441-7101
Practice Address - Country:US
Practice Address - Phone:814-796-0621
Practice Address - Fax:814-796-3163
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula