Healthcare Provider Details

I. General information

NPI: 1962321299
Provider Name (Legal Business Name): SHADELL BRIGGS DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GARFIELD PL
EAST ORANGE NJ
07018-3302
US

IV. Provider business mailing address

10 GARFIELD PL
EAST ORANGE NJ
07018-3302
US

V. Phone/Fax

Practice location:
  • Phone: 201-341-0697
  • Fax:
Mailing address:
  • Phone: 201-341-0697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: