Provider Demographics
NPI:1588426035
Name:LEWIS, MAURITA JOYCE (DOULA)
Entity type:Individual
Prefix:
First Name:MAURITA
Middle Name:JOYCE
Last Name:LEWIS
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:PO BOX 2502
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-2502
Mailing Address - Country:US
Mailing Address - Phone:561-787-5167
Mailing Address - Fax:
Practice Address - Street 1:6600 N OCEAN BLVD APT 7
Practice Address - Street 2:
Practice Address - City:OCEAN RIDGE
Practice Address - State:FL
Practice Address - Zip Code:33435-3313
Practice Address - Country:US
Practice Address - Phone:561-787-5167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula