Individual
MICHELLE PASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 S 6TH STRRET, MONTICELLO, IN 47960
(574) 583-0324
Mailing address
814 S 6TH STRRET, MONTICELLO, IN 47960
(574) 583-0324
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28212097A
IN
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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