Susan Tucker
Individual provider Active NPI Doula · Cazadero, CA
NPI 1497058044 · NPPES record last updated Dec 20, 2010
Key facts
- NPI
- 1497058044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 17 Springhill Dr
Cazadero, CA 95421-9618 - Phone
- (707) 788-6688
- Fax
- (707) 788-6688
- NPI assigned
- Dec 20, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
17 Springhill Dr
Cazadero, CA 95421-9618
Mailing address
17 Springhill Dr
Cazadero, CA 95421-9618
Phone (707) 788-6688
Other providers in Cazadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 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.