Provider Demographics
NPI:1891514345
Name:PEREIRA, MICHELLE R (IBCLC,CPST)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:IBCLC,CPST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 TORRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3451
Mailing Address - Country:US
Mailing Address - Phone:720-327-7704
Mailing Address - Fax:
Practice Address - Street 1:431 TORRENCE AVE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3451
Practice Address - Country:US
Practice Address - Phone:720-327-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN