Mallory Bundt
Doula • O Fallon, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mallory Bundt has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mallory Bundt was a registered Doula practicing in O Fallon, IL. Throughout an active medical career spanning 6 years, Mallory Bundt provided care at the practice location at 7021 MILLBROOK LN until profile deactivation on 2020-06-02.
Practice Location & Contact Primary Location
7021 Millbrook Ln
O Fallon, IL 622696966
Specialty Benchmarks & Practice Insights
Comparative analytics for Doula in O Fallon, IL
Practicing in O Fallon, IL (514 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 374J00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 02, 2020
NPI status registered as active in NPPES database
Registered at 7021 MILLBROOK LN, O FALLON, IL 622696966 (Tel: 6189605933)
Registered at 7021 MILLBROOK LN, O FALLON, IL 622696966 (Tel: 6189605933)
Recorded as MALLORY BUNDT
Doula
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
7021 Millbrook Ln
O Fallon, IL 622696966
Phone: 6189605933
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.