Provider Demographics
NPI:1245553536
Name:O'BRIEN, AMBER MARIE (CD(DONA), CLS)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:MARIE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:CD(DONA), CLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 S GLADSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46619-2707
Mailing Address - Country:US
Mailing Address - Phone:574-298-3187
Mailing Address - Fax:
Practice Address - Street 1:722 S GLADSTONE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46619-2707
Practice Address - Country:US
Practice Address - Phone:574-298-3187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula