Desirae C Michalisko, NP, CNM
Advanced Practice Midwife in Carmel, IN. Individual provider (NPI-1).
NPI number1679039986
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1679039986
- Entity type
- Individual (NPI-1)
- Name
- Desirae C Michalisko
- Credential
- NP, CNM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2019
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 09000371A | IN | Yes |
| 367A00000X | Advanced Practice Midwife | – | – |
Practice location
13420 N Meridian St Ste 420Carmel, IN 46032-1581
Phone 317-582-8500
Mailing address
13420 N Meridian St Ste 420Carmel, IN 46032-1581
Phone 317-582-8500
Other practice locations
1560 Turf Ln
East Lansing, MI 48823-6392
East Lansing, MI 48823-6392
Phone 517-484-3000
1100 S Cedar St
Mason, MI 48854-2086
Mason, MI 48854-2086
Phone 517-484-3000
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All 11 Advanced Practice Midwife providers in Carmel · All 4,706 providers in Carmel
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