Provider Demographics
NPI:1447963889
Name:TOMPKINS, AUBREY THERESE (CNM)
Entity type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:THERESE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:AUBREY
Other - Middle Name:THERESE
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:42 N SAINT JOSEPH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-2203
Mailing Address - Country:US
Mailing Address - Phone:269-687-0808
Mailing Address - Fax:269-687-0811
Practice Address - Street 1:42 N SAINT JOSEPH AVE STE 201
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-2203
Practice Address - Country:US
Practice Address - Phone:269-687-0808
Practice Address - Fax:269-687-0811
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704306692367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife