Individual
MRS. MICHELE RENEE MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8538
(803) 791-2660
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2491
(803) 794-5960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
182611
NC
163W00000X
Registered Nurse
RN62456
ME
367500000X
Certified Registered Nurse Anesthetist
182611
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
32257
SC
367500000X
Certified Registered Nurse Anesthetist
RNA123028
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00662398
RAILROAD-MEDICARE
NC
Enumeration date
08/13/2008
Last updated
07/14/2026
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