Provider Demographics
NPI:1881981751
Name:BRINKERHOFF, SAMANTHA DRAKE (CD (DONA))
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:DRAKE
Last Name:BRINKERHOFF
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 1:227 W CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:IL
Mailing Address - Zip Code:61944-2169
Mailing Address - Country:US
Mailing Address - Phone:217-712-6303
Mailing Address - Fax:
Practice Address - Street 1:227 W CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:IL
Practice Address - Zip Code:61944-2169
Practice Address - Country:US
Practice Address - Phone:217-712-6303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula