Provider Demographics
NPI:1215661988
Name:SLOSS, SHARLAY M (DOULA)
Entity type:Individual
Prefix:MRS
First Name:SHARLAY
Middle Name:M
Last Name:SLOSS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 COPPER MOUNTAIN CIR
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-4622
Mailing Address - Country:US
Mailing Address - Phone:646-488-6585
Mailing Address - Fax:
Practice Address - Street 1:532 COPPER MOUNTAIN CIR
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-4622
Practice Address - Country:US
Practice Address - Phone:646-488-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD02204638374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula