Provider Demographics
NPI:1700460698
Name:LANDERS, CHRISTINE SARA (BIRTH DOULA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:SARA
Last Name:LANDERS
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 THISTLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1711
Mailing Address - Country:US
Mailing Address - Phone:585-738-5673
Mailing Address - Fax:
Practice Address - Street 1:5 THISTLEWOOD LN
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1711
Practice Address - Country:US
Practice Address - Phone:585-738-5673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula