Healthcare Provider Details

I. General information

NPI: 1457730434
Provider Name (Legal Business Name): BEAUTIFULLY CONNECTED PREGNANCY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2015
Last Update Date: 05/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 HARDIN DR
OKLAHOMA CITY OK
73111-1638
US

IV. Provider business mailing address

2016 HARDIN DR
OKLAHOMA CITY OK
73111-1638
US

V. Phone/Fax

Practice location:
  • Phone: 405-667-1942
  • Fax:
Mailing address:
  • Phone: 405-667-1942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. BRITTANY CHAVEZ
Title or Position: DOULA, PREGNANCY CONSULTANT
Credential:
Phone: 405-667-1942