Provider Demographics
NPI:1154299584
Name:PURVIS, CRISTINA PURVIS (DOULA)
Entity type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:PURVIS
Last Name:PURVIS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 SILVER MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48359-1172
Mailing Address - Country:US
Mailing Address - Phone:586-922-7542
Mailing Address - Fax:
Practice Address - Street 1:2230 SILVER MAPLE LN
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48359-1172
Practice Address - Country:US
Practice Address - Phone:586-922-7542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI27535152374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula