Provider Demographics
NPI:1740997139
Name:BURT, NANCY (CLC, CERTIFIED DOULA)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:BURT
Suffix:
Gender:F
Credentials:CLC, CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 ARBOR VIEW TER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-7768
Mailing Address - Country:US
Mailing Address - Phone:253-380-4998
Mailing Address - Fax:804-778-4585
Practice Address - Street 1:6000 ARBOR VIEW TER
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7768
Practice Address - Country:US
Practice Address - Phone:253-380-4998
Practice Address - Fax:804-778-4585
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty