Provider Demographics
NPI:1841651163
Name:HEALEY, LINDA (CPM)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:HEALEY
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 1:11125 WALKINSHAW RD N
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-8100
Mailing Address - Country:US
Mailing Address - Phone:269-968-6560
Mailing Address - Fax:269-968-6560
Practice Address - Street 1:22201 CAPITAL AVE NE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-9458
Practice Address - Country:US
Practice Address - Phone:269-968-6560
Practice Address - Fax:269-968-6560
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
96040004176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
96040004OtherTHE NORTH AMERICAN REGISTRY OF MIDWIVES