Provider Demographics
NPI:1043600463
Name:KONIG, JESSIA PATELLA (DOULA)
Entity type:Individual
Prefix:
First Name:JESSIA
Middle Name:PATELLA
Last Name:KONIG
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 1:2840 W LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2620
Mailing Address - Country:US
Mailing Address - Phone:412-605-9112
Mailing Address - Fax:
Practice Address - Street 1:2840 W LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2620
Practice Address - Country:US
Practice Address - Phone:412-605-9112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-24
Last Update Date:2015-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula