Provider Demographics
NPI:1902120496
Name:MERRITT BRUFLAT, DEBRA L (CD, CPD(DONA), ICCE)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:L
Last Name:MERRITT BRUFLAT
Suffix:
Gender:F
Credentials:CD, CPD(DONA), ICCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BURT ST APT 10
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-6277
Mailing Address - Country:US
Mailing Address - Phone:707-579-6064
Mailing Address - Fax:
Practice Address - Street 1:225 BURT ST APT 10
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-6277
Practice Address - Country:US
Practice Address - Phone:707-579-6064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula