Provider Demographics
NPI:1679287734
Name:RICHARDSON, CHINITA (DOULA)
Entity type:Individual
Prefix:DR
First Name:CHINITA
Middle Name:
Last Name:RICHARDSON
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 1:519 TOUCHDOWN DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4722
Mailing Address - Country:US
Mailing Address - Phone:706-536-2417
Mailing Address - Fax:
Practice Address - Street 1:519 TOUCHDOWN DR
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4722
Practice Address - Country:US
Practice Address - Phone:706-536-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula