MEDICARE: ERICA LEIGH SEBRING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		MD

General Provider Information

NPI Number	:	1538661525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA LEIGH SEBRING

Provider Business Mailing Address
First Line	:	10 SELLERS RD APT B
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21402-1207
Country	:	US
Telephone Number	:	360-969-4271
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SELLERS RD APT B
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21402-1207
Country	:	US
Telephone Number	:	360-969-4271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2018
Last Update Date	:	06/11/2019

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