Provider Demographics
NPI:1538832829
Name:MURDEN, ALLYSON (CD(DONA))
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:MURDEN
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 1:1306 W 148TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-3412
Mailing Address - Country:US
Mailing Address - Phone:219-588-6794
Mailing Address - Fax:
Practice Address - Street 1:1306 W 148TH ST
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-3412
Practice Address - Country:US
Practice Address - Phone:219-588-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL13517374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula