Provider Demographics
NPI:1780996041
Name:AVILA, AMELIA A (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:A
Last Name:AVILA
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 COLLEEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2706
Mailing Address - Country:US
Mailing Address - Phone:757-874-1571
Mailing Address - Fax:
Practice Address - Street 1:919 COLLEEN DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2706
Practice Address - Country:US
Practice Address - Phone:757-874-1571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula