Provider Demographics
NPI:1255193769
Name:WHITE, KAITLYN ELIZABETH (CD (DONA))
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:RAPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2105 GREENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6111
Mailing Address - Country:US
Mailing Address - Phone:248-884-5289
Mailing Address - Fax:
Practice Address - Street 1:2105 GREENVIEW DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-6111
Practice Address - Country:US
Practice Address - Phone:248-884-5289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI15275374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula