Individual
MRS. MICHELLE IVELISSE MIRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709
(845) 871-4235
Mailing address
74 LIBERTY COMMONS WAY UNIT 6, LIBERTY, NY 12754-3029
(929) 421-5518
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/28/2024
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