MEDICARE: BRIANNA BABE-DOROTHY BROCKIE BDC.BD.70124549

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	BDC.BD.70124549	WA

General Provider Information

NPI Number	:	1700719465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA BABE-DOROTHY BROCKIE BDC.BD.70124549

Provider Business Mailing Address
First Line	:	6103 N ADDISON ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-8104
Country	:	US
Telephone Number	:	509-475-0990
Fax Number	:

Provider Business Practice Location Address
First Line	:	6103 N ADDISON ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-8104
Country	:	US
Telephone Number	:	509-475-0990
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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