Provider Demographics
NPI:1447718283
Name:MORALES WILLIAMS, DAWN CHARLENE (DOULA)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:CHARLENE
Last Name:MORALES WILLIAMS
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 1:61 URSULA PL
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-4214
Mailing Address - Country:US
Mailing Address - Phone:914-439-3886
Mailing Address - Fax:
Practice Address - Street 1:61 URSULA PL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-4214
Practice Address - Country:US
Practice Address - Phone:914-439-3886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide