Provider Demographics
NPI:1366774432
Name:LOVEJOY, HEATHERGAIL (PCD(DONA))
Entity type:Individual
Prefix:
First Name:HEATHERGAIL
Middle Name:
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95006-9312
Mailing Address - Country:US
Mailing Address - Phone:408-315-6521
Mailing Address - Fax:
Practice Address - Street 1:459 RIDGE DR
Practice Address - Street 2:
Practice Address - City:BOULDER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95006-9312
Practice Address - Country:US
Practice Address - Phone:408-315-6521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula