Provider Demographics
NPI:1205513025
Name:LIVINGSTON, CIERRA
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CIERRA
Other - Middle Name:
Other - Last Name:LIVINSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BIRTH DOULA
Mailing Address - Street 1:1058 COVINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1058 COVINGTON ST
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7039
Practice Address - Country:US
Practice Address - Phone:407-221-6125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula