Provider Demographics
NPI:1407656887
Name:SMITH, BRIANA HALENA (DOULA)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:HALENA
Last Name:SMITH
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 TRAYNOR LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-3804
Mailing Address - Country:US
Mailing Address - Phone:305-303-5280
Mailing Address - Fax:
Practice Address - Street 1:21 TRAYNOR LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3804
Practice Address - Country:US
Practice Address - Phone:305-303-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula