Basic Information
| Provider Information | |||||||||
| NPI: | 1003141797 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUTSHALL | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CD (DONA) PCD (DONA) | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8570 GUTHRIE AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900341511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104678716 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8570 GUTHRIE AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900341511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104678716 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2009 | ||||||||
| LastUpdateDate: | 10/14/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374J00000X | 6110 (DONA) | CA | Y | Nursing Service Related Providers | Doula |
No ID Information.