Healthcare Provider Details

I. General information

NPI: 1316382872
Provider Name (Legal Business Name): MAEGAN MCCOY DOULA(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 06/13/2022
Certification Date: 06/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26591 ESPALTER DR
MISSION VIEJO CA
92691-5115
US

IV. Provider business mailing address

4171 N CROSSOVER RD
FAYETTEVILLE AR
72703-4591
US

V. Phone/Fax

Practice location:
  • Phone: 323-762-0377
  • Fax:
Mailing address:
  • Phone: 479-521-1427
  • Fax: 479-521-6520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: