Individual
DOMINIQUE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1650 HASLETT RD, HASLETT, MI 48840-7615
(517) 853-5576
(517) 853-5577
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704326306
MI
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/09/2023
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