Provider Demographics
NPI:1396496188
Name:AYERS, SAMANTHA YVETTE (DOULA)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:YVETTE
Last Name:AYERS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 ARCTIC FOX DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-3961
Mailing Address - Country:US
Mailing Address - Phone:573-814-8491
Mailing Address - Fax:
Practice Address - Street 1:3906 ARCTIC FOX DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-3961
Practice Address - Country:US
Practice Address - Phone:573-814-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula