MEDICARE: ROMIA A PRATT

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

General Provider Information

NPI Number	:	1578333449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMIA A PRATT

Provider Business Mailing Address
First Line	:	138 GREEN KNOLLS DR APT B
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4814
Country	:	US
Telephone Number	:	585-287-4410
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 GREEN KNOLLS DR APT B
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4814
Country	:	US
Telephone Number	:	585-287-4410
Fax Number	:

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

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

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Directions to “ ROMIA A PRATT ” Practice Location

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