Provider Demographics
NPI:1912603515
Name:ENGELBRECHT, KIERA (RN DOULA)
Entity Type:Individual
Prefix:
First Name:KIERA
Middle Name:
Last Name:ENGELBRECHT
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 1:16969 BRIDGETON LN
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4838
Mailing Address - Country:US
Mailing Address - Phone:304-268-0038
Mailing Address - Fax:
Practice Address - Street 1:16969 BRIDGETON LN
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4838
Practice Address - Country:US
Practice Address - Phone:304-268-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC329832163W00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163W00000XNursing Service ProvidersRegistered Nurse