Provider Demographics
NPI:1861965766
Name:FRIEBEL, MELINDA MARIE (CD(DONA))
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:MARIE
Last Name:FRIEBEL
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:MS
Other - First Name:MINDY
Other - Middle Name:MARIE
Other - Last Name:FRIEBEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:1396 RIVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2322
Mailing Address - Country:US
Mailing Address - Phone:615-335-6565
Mailing Address - Fax:
Practice Address - Street 1:1396 RIVERWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2322
Practice Address - Country:US
Practice Address - Phone:615-335-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12981374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
12981OtherCD(DONA) CERTIFICATION NUMBER