Provider Demographics
NPI:1427490986
Name:EARLS, BRANDY M (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:M
Last Name:EARLS
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 1:1434 S OVERBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-1278
Mailing Address - Country:US
Mailing Address - Phone:417-818-5053
Mailing Address - Fax:
Practice Address - Street 1:1434 S OVERBROOK AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-1278
Practice Address - Country:US
Practice Address - Phone:417-818-5053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula