MEDICARE: LYNNAE JOY VANDERHART 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

General Provider Information

NPI Number	:	1639017403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNAE JOY VANDERHART DOULA

Provider Business Mailing Address
First Line	:	116 WALNUT ST
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-5138
Country	:	US
Telephone Number	:	720-333-6370
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 WALNUT ST
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-5138
Country	:	US
Telephone Number	:	720-333-6370
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ LYNNAE JOY VANDERHART DOULA” Practice Location

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