Provider Demographics
NPI:1023829967
Name:AUSTIN, EMILY SUE (DOULA NCS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SUE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:DOULA NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 NE 155TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7440
Mailing Address - Country:US
Mailing Address - Phone:808-285-7008
Mailing Address - Fax:
Practice Address - Street 1:6631 NE 182ND ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-5018
Practice Address - Country:US
Practice Address - Phone:808-285-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4106838374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula