Bryce Bledsoe
Individual provider Active NPI Doula · Paoli, IN
NPI 1689240640 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1689240640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 5849 S Wild Chestnut St
Paoli, IN 47454-9140 - Phone
- (812) 902-8176
- NPI assigned
- Jun 1, 2021
- 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 | IN | Yes |
Addresses
Primary practice location
5849 S Wild Chestnut St
Paoli, IN 47454-9140
Mailing address
5849 S Wild Chestnut St
Paoli, IN 47454-9140
Other providers in Paoli, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. 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.