National Provider Identifier

Mabel Primus, CLC

Mabel Primus, CLC is listed in the NPPES registry with a primary specialty of Doula in Rochester, NY and a listed phone number of (585) 764-1651.

NPI 1245959881Rochester, NYDoula

Profile Overview

NPI
1245959881
Provider Type
Individual
Primary Specialty
Doula
Enumeration Date
August 25, 2022
Last Updated
August 25, 2022

Practice Location

  • 228 Melville St
  • Rochester, NY 14609-5227

Phone: (585) 764-1651

Specialties

  • Doula (374J00000X)
  • Lactation Consultant (Non-RN) (174N00000X)
Full Record
NPI
1245959881
Entity Type
Individual
Last Name
Primus
First Name
Mabel
Name Prefix
Mrs.
Credential
CLC
Mailing Street Address
228 Melville St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-5227
Mailing Country
US
Mailing Phone
(585) 764-1651
Practice Street Address
228 Melville St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-5227
Practice Country
US
Practice Phone
(585) 764-1651
Enumeration Date
August 25, 2022
Last Updated
August 25, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Doula (374J00000X), Lactation Consultant (Non-RN) (174N00000X)