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

MS. DOMINIQUE JENELLE CLOTHIAUX, CPM, LM, LMP

Active Sole Proprietor

MS. DOMINIQUE JENELLE CLOTHIAUX, CPM, LM, LMP is a Midwife healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1770635203 is currently active in the NPPES registry. Verify at CMS.

Midwife · CHARLOTTESVILLE, VA

Registration Details

NPI Number
1770635203
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2007 (19.533232540924 yrs)
Last Updated
Apr 22, 2019
Licenses
MA00020937 (WA)
0129000142 (VA)
Sole Proprietor
Yes

Practice Information

Address
1142 SAINT CLAIR AVE
CHARLOTTESVILLE, VA, 229014144
Browse VA providers · Browse ZIP 22901
Phone
4349965095
Fax
8665223846
Primary Specialty
Midwife
176B00000X
Additional Specialty
Midwife

Other Midwife Providers in CHARLOTTESVILLE, VA

Name Credential NPI
BRYNNE POTTER CPM 1568427870
MRS. DONNA FREDE VINAL CNM PHD 1083671598
CATHERINE A BUCK CNM 1568404523
DR. DEREN ELAINE BADER CPM, DRPH 1275614240
EMILY PASQUARIELLO FRIAR CPM, LM 1033239520
DEBBIE WONG CPM 1215230842
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.