Provider Demographics
NPI:1033347661
Name:LICARI, SINEAD CARMEL (CNM)
Entity Type:Individual
Prefix:
First Name:SINEAD
Middle Name:CARMEL
Last Name:LICARI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SINEAD
Other - Middle Name:CARMEL
Other - Last Name:SLEVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:944 LENNOX ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4530
Mailing Address - Country:US
Mailing Address - Phone:734-649-0469
Mailing Address - Fax:
Practice Address - Street 1:944 LENNOX ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4530
Practice Address - Country:US
Practice Address - Phone:734-649-0469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704215011176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife