Provider Demographics
NPI:1982918165
Name:O'DWYER, SERENA ELIZABETH (CD(DONA))
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:ELIZABETH
Last Name:O'DWYER
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 1:8401 HENNINGS DR APT 25
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-9569
Mailing Address - Country:US
Mailing Address - Phone:425-923-4244
Mailing Address - Fax:
Practice Address - Street 1:8401 HENNINGS DR APT 25
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-9569
Practice Address - Country:US
Practice Address - Phone:425-923-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula