Provider Demographics
NPI:1720718257
Name:NORWOOD, KEERA PAIGE (CERTIFIED DOULA)
Entity Type:Individual
Prefix:MRS
First Name:KEERA
Middle Name:PAIGE
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 COUNTY ROAD 40
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36353-6144
Mailing Address - Country:US
Mailing Address - Phone:334-805-5458
Mailing Address - Fax:
Practice Address - Street 1:8220 COUNTY ROAD 40
Practice Address - Street 2:
Practice Address - City:NEWVILLE
Practice Address - State:AL
Practice Address - Zip Code:36353-6144
Practice Address - Country:US
Practice Address - Phone:334-805-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3961242374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty