Provider Demographics
NPI:1922711076
Name:HASKELL, MICHELLE (CD/PCD(DONA), LCCE)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:HASKELL
Suffix:
Gender:F
Credentials:CD/PCD(DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 CINDY DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-9239
Mailing Address - Country:US
Mailing Address - Phone:517-290-3034
Mailing Address - Fax:
Practice Address - Street 1:1119 CINDY DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-9239
Practice Address - Country:US
Practice Address - Phone:517-290-3034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula