Provider Demographics
NPI:1538927751
Name:SORENSEN, WENDY KAY (BIRTH DOULA)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:KAY
Last Name:SORENSEN
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:KAY
Other - Last Name:COSTELLOE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:WENDY KAY SAGER
Mailing Address - Street 1:2282 VIA MARIPOSA W UNIT Q
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2103
Mailing Address - Country:US
Mailing Address - Phone:949-214-9751
Mailing Address - Fax:
Practice Address - Street 1:2282 VIA MARIPOSA W UNIT Q
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2103
Practice Address - Country:US
Practice Address - Phone:949-214-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula