Provider Demographics
NPI:1760818033
Name:MACNAIR, ELLEN P (CD(DONA))
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:P
Last Name:MACNAIR
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 1:4609 DOLPHIN LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-3111
Mailing Address - Country:US
Mailing Address - Phone:703-402-5723
Mailing Address - Fax:
Practice Address - Street 1:4609 DOLPHIN LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-3111
Practice Address - Country:US
Practice Address - Phone:703-402-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8242374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula