1801710025 NPI number — ITANIA DAZJAE LAMARRE NJEI DOULA

Table of content: ITANIA DAZJAE LAMARRE NJEI DOULA (NPI 1801710025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801710025 NPI number — ITANIA DAZJAE LAMARRE NJEI DOULA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NJEI
Provider First Name:
ITANIA
Provider Middle Name:
DAZJAE LAMARRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DOULA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAMARRE
Provider Other First Name:
ITANIA
Provider Other Middle Name:
DAZJAE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DOULA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801710025
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1531 EVA MAE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27610-4448
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
737-314-3185
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1531 EVA MAE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27610-4448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
737-314-3185
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/10/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 374J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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