Provider Demographics
NPI:1689412058
Name:KERR, MIRIAM (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:KERR
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 1:4602 CR 673 # 7605
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-8358
Mailing Address - Country:US
Mailing Address - Phone:704-701-5479
Mailing Address - Fax:
Practice Address - Street 1:4602 CR 673 # 7605
Practice Address - Street 2:
Practice Address - City:BUSHNELL
Practice Address - State:FL
Practice Address - Zip Code:33513-8358
Practice Address - Country:US
Practice Address - Phone:704-701-5479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula