Provider Demographics
NPI:1750712709
Name:STILES, JANINE ROSE (CPM)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:ROSE
Last Name:STILES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1591 CHELSEA ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-2214
Mailing Address - Country:US
Mailing Address - Phone:612-616-5509
Mailing Address - Fax:612-928-2808
Practice Address - Street 1:149 THOMPSON AVE E STE 215
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3238
Practice Address - Country:US
Practice Address - Phone:612-616-5509
Practice Address - Fax:612-928-2808
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula