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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KANISHA LANAE TIEDEMAN, DOULA

Active Sole Proprietor

MRS. KANISHA LANAE TIEDEMAN, DOULA is a Doula healthcare provider located in CORDOVA, Alaska. NPI 1538856984 is currently active in the NPPES registry. Verify at CMS.

Doula · CORDOVA, AK

Registration Details

NPI Number
1538856984
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2023 (3.2874066058923 yrs)
Last Updated
Apr 18, 2023
Sole Proprietor
Yes

Practice Information

Address
6 MILE HARTNEY BAY ROAD
CORDOVA, AK, 995741275
Browse AK providers · Browse ZIP 99574
Phone
9072359642
Primary Specialty
Doula
374J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.