Provider Demographics
NPI:1336734722
Name:ATKINSON, BROOKE (CPM, DOULA)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:CPM, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST
Mailing Address - State:NC
Mailing Address - Zip Code:28097-7176
Mailing Address - Country:US
Mailing Address - Phone:704-438-2198
Mailing Address - Fax:
Practice Address - Street 1:103 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-7176
Practice Address - Country:US
Practice Address - Phone:704-438-2198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No176B00000XOther Service ProvidersMidwife
No174H00000XOther Service ProvidersHealth Educator