Provider Demographics
NPI:1164663902
Name:KARPIN, MICHELLE LONGA (CNM)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LONGA
Last Name:KARPIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-5813
Mailing Address - Country:US
Mailing Address - Phone:805-544-4355
Mailing Address - Fax:805-549-8388
Practice Address - Street 1:705 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2639
Practice Address - Country:US
Practice Address - Phone:805-544-2478
Practice Address - Fax:805-544-3649
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1698176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1698OtherCERTIFIED NURSE MIDWIFE