Provider Demographics
NPI:1073495867
Name:BRIMFIELD, KETURAH LATRICE (DOULA)
Entity type:Individual
Prefix:MS
First Name:KETURAH
Middle Name:LATRICE
Last Name:BRIMFIELD
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 1:2005 NOTLAND CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2958
Mailing Address - Country:US
Mailing Address - Phone:910-849-8354
Mailing Address - Fax:
Practice Address - Street 1:2005 NOTLAND CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2958
Practice Address - Country:US
Practice Address - Phone:910-849-8354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula