Provider Demographics
NPI:1194586735
Name:ROBERTSON, WAKINA (CD(DONA), CBFPC, PPD)
Entity type:Individual
Prefix:
First Name:WAKINA
Middle Name:
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:CD(DONA), CBFPC, PPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SILER LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-0034
Mailing Address - Country:US
Mailing Address - Phone:828-779-2402
Mailing Address - Fax:
Practice Address - Street 1:9 SILER LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-0034
Practice Address - Country:US
Practice Address - Phone:828-779-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula