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NPI 1447985254

IndividualActive

Gwynavia Scullark

NPI 1447985254 · Doula · Waterloo, IA

Provider details

NPI number: 1447985254
Entity type: Individual
Primary specialty: DoulaNursing Service Related Providers
Sex: Female
Sole proprietor: Yes
License: 1423959

Practice location

442 Center St

Waterloo, IA 50703-3616

Phone: (319) 404-2630

More IA providers

Mailing address

442 Center St

Waterloo, IA 50703-3616

Registry dates

Enumerated: 2022-07-18
Last updated: 2022-07-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gwynavia Scullark — NPI 1447985254, Waterloo, IA | NPI Central