Healthcare Provider Details

I. General information

NPI: 1063568186
Provider Name (Legal Business Name): CHARMAIN NAPPER PTA, BIRTH DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11801 BLEASDELL DR
SPOTSYLVANIA VA
22551-8173
US

IV. Provider business mailing address

11801 BLEASDELL DR
SPOTSYLVANIA VA
22551-8173
US

V. Phone/Fax

Practice location:
  • Phone: 360-969-0960
  • Fax: 360-969-0960
Mailing address:
  • Phone: 360-969-0960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number5031
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: