Provider Demographics
NPI:1790518801
Name:CHRETIEN, HEATHER (RN, DOULA)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:CHRETIEN
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 N HACKER RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-7168
Mailing Address - Country:US
Mailing Address - Phone:248-672-0901
Mailing Address - Fax:
Practice Address - Street 1:870 N HACKER RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7168
Practice Address - Country:US
Practice Address - Phone:248-672-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula