Healthcare Provider Details

I. General information

NPI: 1801729546
Provider Name (Legal Business Name): ANASTACIA MCPHERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1354 N HARPER AVE APT 108
WEST HOLLYWOOD CA
90046-3775
US

IV. Provider business mailing address

PO BOX 691322
WEST HOLLYWOOD CA
90069-9322
US

V. Phone/Fax

Practice location:
  • Phone: 323-321-3799
  • Fax:
Mailing address:
  • Phone: 323-321-3799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: