Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waleeda Nefertiti Clark

Individual provider Doula · NPI 1215769021

Waleeda Nefertiti Clark is a Doula in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5696 Roseworth Ct SE
Grand Rapids, MI 49548-5809
Phone: (616) 803-9573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X

Record details

NPI number1215769021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address5696 Roseworth Ct Se, Grand Rapids, MI 49548-5809

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