Individual
MS. MICHELLE F VALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9670 CROSSFIELD RD, AVON, IN 46123-5587
(463) 210-9544
Mailing address
9670 CROSSFIELD RD, AVON, IN 46123-5587
(463) 210-9544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28206889A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28206889A
REGISTERED NURSE LICENSE
IN
Enumeration date
08/04/2020
Last updated
05/11/2026
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