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WALEEDA NEFERTITI CLARK
NPI 1215769021
Doula in Grand Rapids, MI

Active since August 19, 2024
5696 ROSEWORTH CT SE, GRAND RAPIDS, MI 49548(616) 803-9573 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waleeda Nefertiti Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALEEDA NEFERTITI CLARK (NPI 1215769021) is an individual doula in Grand Rapids, Michigan and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1215769021
Entity TypeIndividualFemale
Primary Taxonomy374J00000X
Provider Legal NameWALEEDA NEFERTITI CLARK
Location Address5696 ROSEWORTH CT SEGrand Rapids, MI 49548-5809
Mailing Address5696 Roseworth Ct SeGrand Rapids, MI 49548-5809 · (616) 803-9573
Phone(616) 803-9573
Sole ProprietorYes
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1215769021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDoulaNursing Service Related Providers
Taxonomy Code374J00000X
Definition
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
5696 ROSEWORTH CT SE, Grand Rapids, MI 49548
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waleeda Clark's NPI number?

The NPI number for Waleeda Clark is 1215769021. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Waleeda Clark located?

Waleeda Clark practices at 5696 Roseworth Ct SE, Grand Rapids, MI 49548. The listed phone number is (616) 803-9573.

What is Waleeda Clark's specialty?

The primary specialty registered for this NPI is Doula with taxonomy code 374J00000X.

When was this NPI record last updated?

The NPPES record for Waleeda Clark was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.