Provider Demographics
NPI:1730812181
Name:KILDARE, BRITTNEY ASHLEY (CERTIFIED DOULA, CLD)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:ASHLEY
Last Name:KILDARE
Suffix:
Gender:F
Credentials:CERTIFIED DOULA, CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 FOREST AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6316 FOREST AVE APT 1A
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2067
Practice Address - Country:US
Practice Address - Phone:516-847-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula