Provider Demographics
NPI:1528493517
Name:WHITE, HEATHER (CD(DONA))
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:WHITE
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 1:177 DWIGHT ST
Mailing Address - Street 2:#4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-1549
Mailing Address - Country:US
Mailing Address - Phone:917-821-6473
Mailing Address - Fax:
Practice Address - Street 1:177 DWIGHT ST
Practice Address - Street 2:#4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-1549
Practice Address - Country:US
Practice Address - Phone:917-821-6473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula