Provider Demographics
NPI:1356048565
Name:CID, NANCY ELENA (DOULA (CBD))
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ELENA
Last Name:CID
Suffix:
Gender:F
Credentials:DOULA (CBD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N BEACON ST APT 203
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-2282
Mailing Address - Country:US
Mailing Address - Phone:424-364-3053
Mailing Address - Fax:
Practice Address - Street 1:201 N BEACON ST APT 203
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-2282
Practice Address - Country:US
Practice Address - Phone:424-364-3053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula