Provider Demographics
NPI:1912464975
Name:HOLMES, NZENGELA M (CD(DONA))
Entity Type:Individual
Prefix:MS
First Name:NZENGELA
Middle Name:M
Last Name:HOLMES
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 1:539 QUINCY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1809
Mailing Address - Country:US
Mailing Address - Phone:917-312-8709
Mailing Address - Fax:
Practice Address - Street 1:539 QUINCY ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-1809
Practice Address - Country:US
Practice Address - Phone:917-312-8709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula