Provider Demographics
NPI:1962738492
Name:TOTLEBEN, MICHELLE (CD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:TOTLEBEN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 LIGHTHOUSE ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1943
Mailing Address - Country:US
Mailing Address - Phone:814-453-4496
Mailing Address - Fax:
Practice Address - Street 1:315 LIGHTHOUSE ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1943
Practice Address - Country:US
Practice Address - Phone:814-453-4496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-18
Last Update Date:2009-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula