Provider Demographics
NPI:1548061450
Name:BUELTER, MARISA DANIELLE (CD (CERTIFIED DOULA))
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:DANIELLE
Last Name:BUELTER
Suffix:
Gender:F
Credentials:CD (CERTIFIED DOULA)
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:DANIELLE
Other - Last Name:DE LUCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3250 LAHRING RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-9434
Mailing Address - Country:US
Mailing Address - Phone:248-917-2052
Mailing Address - Fax:
Practice Address - Street 1:3250 LAHRING RD
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-9434
Practice Address - Country:US
Practice Address - Phone:248-917-2052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula