Provider Demographics
NPI:1730664319
Name:SAWYERS, NICOLE (CPM, LM)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:SAWYERS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SAWYERS TODD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPM, LM
Mailing Address - Street 1:745 HEDY AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1938
Mailing Address - Country:US
Mailing Address - Phone:267-777-0815
Mailing Address - Fax:
Practice Address - Street 1:745 HEDY AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1938
Practice Address - Country:US
Practice Address - Phone:267-777-0815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
NJ25MW00004500176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula