Healthcare Provider Details

I. General information

NPI: 1366689796
Provider Name (Legal Business Name): ROSALYN ELAINE TULIP MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S 7TH ST
ANN ARBOR MI
48103-4256
US

IV. Provider business mailing address

116 S 7TH ST
ANN ARBOR MI
48103-4256
US

V. Phone/Fax

Practice location:
  • Phone: 734-276-6487
  • Fax:
Mailing address:
  • Phone: 734-276-6487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: