Healthcare Provider Details

I. General information

NPI: 1750758975
Provider Name (Legal Business Name): KATHERINE ELIZABETH BROWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 REVOLUTION CT
NEWARK DE
19702-5930
US

IV. Provider business mailing address

400 REVOLUTION CT
NEWARK DE
19702-5930
US

V. Phone/Fax

Practice location:
  • Phone: 302-379-7010
  • Fax:
Mailing address:
  • Phone: 302-379-7010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATHERINE ELIZABETH BROWN
Title or Position: BIRTH AND BEREAVEMENT DOULA
Credential: SBD, CLD, CCE, CBS
Phone: 302-379-7010