# MS. MICHELLE L MACHESKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033296462
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0550030762 | VT | — |
| 363AS0400X | Surgical Physician Assistant | 055-0030975 | VT | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00069178 | BLUE SHIELD | VT |
| 01 | — | 796088 | MVP | VT |
| 01 | — | 8000474 | LADIES FIRST | VT |
| 05 | — | 9000274 | — | VT |