Provider Demographics
NPI:1679382832
Name:DENNIS, SIMONE (DOULA)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:DENNIS
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 1:4 CHESWOLD BLVD APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4171
Mailing Address - Country:US
Mailing Address - Phone:302-467-9593
Mailing Address - Fax:
Practice Address - Street 1:4 CHESWOLD BLVD APT 3A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4171
Practice Address - Country:US
Practice Address - Phone:302-467-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1864488374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty