Provider Demographics
NPI:1124828199
Name:FRANCO-MORA, TANIA N (FULL SPECTRUM DOULA)
Entity type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:N
Last Name:FRANCO-MORA
Suffix:
Gender:
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 88TH ST APT E6
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7637
Mailing Address - Country:US
Mailing Address - Phone:718-709-6502
Mailing Address - Fax:
Practice Address - Street 1:3705 88TH ST APT E6
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7637
Practice Address - Country:US
Practice Address - Phone:718-709-6502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYASDS1340374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula