NPI 1013502566

Samantha Lee Heenan, CPSTCPESSBDD

Practitioner Doula West Haven, CT

Practice location

Address: 102 2nd Ave, West Haven, CT 06516-5118
Phone: (203) 306-8165

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1013502566
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2021
Record last updated: 6 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.