MEDICARE: MICHELE GUILLORY DOULA,1831069244

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	NV20253416509	NV

General Provider Information

NPI Number	:	1831069244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE GUILLORY DOULA,1831069244

Provider Business Mailing Address
First Line	:	8573 VESTIA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-0243
Country	:	US
Telephone Number	:	702-305-3570
Fax Number	:

Provider Business Practice Location Address
First Line	:	8573 VESTIA CT STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-0243
Country	:	US
Telephone Number	:	702-305-3570
Fax Number	:

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	03/04/2026

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