Provider Demographics
NPI:1194531442
Name:SMITH, ALEXIS TINA (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:TINA
Last Name:SMITH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 STONY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1038
Mailing Address - Country:US
Mailing Address - Phone:413-544-8002
Mailing Address - Fax:
Practice Address - Street 1:53 STONY HILL RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1038
Practice Address - Country:US
Practice Address - Phone:413-544-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula