Provider Demographics
NPI:1841061298
Name:GARDNER, ALANNA APRIL (DOULA)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:APRIL
Last Name:GARDNER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18118 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-2706
Mailing Address - Country:US
Mailing Address - Phone:313-717-9354
Mailing Address - Fax:
Practice Address - Street 1:18118 HICKORY ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-2706
Practice Address - Country:US
Practice Address - Phone:313-717-9354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula