Provider Demographics
NPI:1457730434
Name:BEAUTIFULLY CONNECTED PREGNANCY AND WELLNESS
Entity Type:Organization
Organization Name:BEAUTIFULLY CONNECTED PREGNANCY AND WELLNESS
Other - Org Name:BRITTANY CHAVEZ BIRTH AND WELLNESS SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOULA, PREGNANCY CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-667-1942
Mailing Address - Street 1:2016 HARDIN DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-1638
Mailing Address - Country:US
Mailing Address - Phone:405-667-1942
Mailing Address - Fax:
Practice Address - Street 1:2016 HARDIN DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-1638
Practice Address - Country:US
Practice Address - Phone:405-667-1942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-24
Last Update Date:2015-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty