Provider Demographics
NPI:1235426362
Name:PIPPIN, MICHELLE LYNN (CD, (DONA), LCCE)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNN
Last Name:PIPPIN
Suffix:
Gender:F
Credentials:CD, (DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 CRIPPLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-3718
Mailing Address - Country:US
Mailing Address - Phone:817-846-9949
Mailing Address - Fax:
Practice Address - Street 1:3524 CRIPPLE CREEK DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-3718
Practice Address - Country:US
Practice Address - Phone:817-846-9949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula