Provider Demographics
NPI:1477384238
Name:NORWOOD, CRYSTAL (DOULA)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:NORWOOD
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 1:145 UNIVERSITY DR UNIT 3663
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01004-4120
Mailing Address - Country:US
Mailing Address - Phone:718-650-0404
Mailing Address - Fax:
Practice Address - Street 1:145 UNIVERSITY DR UNIT 3663
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01004-4120
Practice Address - Country:US
Practice Address - Phone:718-650-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula