Provider Demographics
NPI:1508063306
Name:HILEMAN, MICHELLE ELAINE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ELAINE
Last Name:HILEMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1310 E 7TH ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-2534
Mailing Address - Country:US
Mailing Address - Phone:260-927-0035
Mailing Address - Fax:260-927-0036
Practice Address - Street 1:1310 E 7TH ST
Practice Address - Street 2:SUITE M
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-2534
Practice Address - Country:US
Practice Address - Phone:260-927-0035
Practice Address - Fax:260-927-0036
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN72000110A367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife