Provider Demographics
NPI:1548954571
Name:LARKINS, MIESHA A (CD(DONA))
Entity type:Individual
Prefix:
First Name:MIESHA
Middle Name:A
Last Name:LARKINS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 WOODVIEW RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-7628
Mailing Address - Country:US
Mailing Address - Phone:845-274-6945
Mailing Address - Fax:
Practice Address - Street 1:921 WOODVIEW RIDGE TRL
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27023-7628
Practice Address - Country:US
Practice Address - Phone:845-274-6945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14673374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula