MEDICARE: BROOKE MICHELLE CHENEY CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	4704319129	MI

General Provider Information

NPI Number	:	1306449764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE MICHELLE CHENEY CNM

Provider Business Mailing Address
First Line	:	773 CALDER CT
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-1003
Country	:	US
Telephone Number	:	517-230-6404
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MADISON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1516
Country	:	US
Telephone Number	:	567-585-3588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	11/03/2023

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