Laurel Bake
Individual provider Active NPI Doula · Moscow, ID
NPI 1508307315 · NPPES record last updated Mar 16, 2017
Key facts
- NPI
- 1508307315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 106 E 3Rd St Ste 3B
Moscow, ID 83843-2970 - Phone
- (208) 503-6320
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palouse Women'S Wellness LLC | Health Educator | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
106 E 3Rd St Ste 3B
Moscow, ID 83843-2970
Mailing address
106 E 3Rd St Ste 3B
Moscow, ID 83843-2970
Phone (208) 503-6320
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2017. 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.