Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 217995 | LA |
NPI | 1083701114 |
---|---|
Provider Name | Michelle Collins |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70115-6914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 17/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P79598 | (02) |