Provider Demographics
NPI:1174119374
Name:SCOTT, NAFEESAH (DOULA)
Entity type:Individual
Prefix:MS
First Name:NAFEESAH
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4517
Mailing Address - Country:US
Mailing Address - Phone:862-367-3484
Mailing Address - Fax:
Practice Address - Street 1:29 MISSION ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4517
Practice Address - Country:US
Practice Address - Phone:862-367-3484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-12
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula