MEDICARE: SHAN-COA BURKE DOULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	BD471433	LA

General Provider Information

NPI Number	:	1205768231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAN-COA BURKE DOULA

Provider Business Mailing Address
First Line	:	559 HOLMES BLVD
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-2800
Country	:	US
Telephone Number	:	504-909-0926
Fax Number	:

Provider Business Practice Location Address
First Line	:	559 HOLMES BLVD # 207
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-2800
Country	:	US
Telephone Number	:	504-909-0926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ SHAN-COA BURKE DOULA” Practice Location

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