=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174455380
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LATIFA KAI PATTON CERTIFIED DOULA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2026
-----------------------------------------------------
Last Update Date | 06/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2531 N 2ND ST UNIT 1
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19133-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-980-7453
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2531 N 2ND ST UNIT 1
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19133-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-980-7453
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number | 7354
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------