Individual provider · NPI-1
Ellenie Marie Cruz, Doula, CLC
Doula · New Orleans, LA
NPI number1033790472
StatusActive
Last updated in NPPESApr 17, 2021
Details
- NPI
- 1033790472
- Entity type
- Individual (NPI-1)
- Name
- Ellenie Marie Cruz
- Credential
- Doula, CLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2021
- Certification date
- Apr 17, 2021
- Last updated
- Apr 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
| 174H00000X | Health Educator | – | – | |
| 174N00000X | Lactation Consultant, Non-RN | – | – |
Practice location
6100 Canal BlvdNew Orleans, LA 70124-3001
Phone 000-000-0000
Mailing address
6100 Canal BlvdNew Orleans, LA 70124-3001
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