Healthcare Provider Details

I. General information

NPI: 1386494607
Provider Name (Legal Business Name): MEDCITY DOULAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 NOTTINGHAM DR NW STE C
ROCHESTER MN
55901-3199
US

IV. Provider business mailing address

PO BOX 332
PINE ISLAND MN
55963-0332
US

V. Phone/Fax

Practice location:
  • Phone: 507-424-9520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRITTANY BAKER
Title or Position: CO-OWNER
Credential: CD (HDEA)
Phone: 515-441-4905