Provider Demographics
NPI:1871110668
Name:MOORHOUSE, FAITH CHRISTINE (DOULA, PPD, CBE)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:CHRISTINE
Last Name:MOORHOUSE
Suffix:
Gender:F
Credentials:DOULA, PPD, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5629 23RD ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-3216
Mailing Address - Country:US
Mailing Address - Phone:941-538-7619
Mailing Address - Fax:
Practice Address - Street 1:5629 23RD ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-3216
Practice Address - Country:US
Practice Address - Phone:941-538-7619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty