Elizabeth Alva Rosa, CD(DONA)
Individual provider Active NPI Doula · Driggs, ID
NPI 1336463918 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1336463918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- DONA INT. CERTIFIED (ID)
- Practice address
- 390 N 1St E
Driggs, ID 83422-5162 - Phone
- (208) 201-4965
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DONA INT. CERTIFIED | ID | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | DONA INT. CERTIFIED | ID | Yes |
Addresses
Primary practice location
390 N 1St E
Driggs, ID 83422-5162
Mailing address
PO Box 548
Victor, ID 83455-0548
Phone (208) 201-4965
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.