Healthcare Provider Details

I. General information

NPI: 1205410644
Provider Name (Legal Business Name): MICHELE P LABAS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 WESTERN BLVD STE 102
GLASTONBURY CT
06033-4383
US

IV. Provider business mailing address

94 SYLVAN AVE
WEST HARTFORD CT
06107-1735
US

V. Phone/Fax

Practice location:
  • Phone: 860-547-0306
  • Fax:
Mailing address:
  • Phone: 860-558-8682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number540
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: