Latreasa Klann
Individual provider Active NPI Doula · Bridgman, MI
NPI 1750696191 · NPPES record last updated Aug 10, 2010
Key facts
- NPI
- 1750696191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 9547 Maplewood
Bridgman, MI 49106-0156 - Phone
- (269) 426-0870
- NPI assigned
- Aug 10, 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
9547 Maplewood
Bridgman, MI 49106-0156
Mailing address
PO Box 156
Bridgman, MI 49106-0156
Other providers in Bridgman, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 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.