Provider Demographics
NPI:1053031864
Name:FROST, LEANNE (CERTIFIED DOULA)
Entity type:Individual
Prefix:MISS
First Name:LEANNE
Middle Name:
Last Name:FROST
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-2427
Mailing Address - Country:US
Mailing Address - Phone:330-207-2583
Mailing Address - Fax:
Practice Address - Street 1:837 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2427
Practice Address - Country:US
Practice Address - Phone:330-207-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty