Individual
MICHELLE LEE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 ALANIA PL APT A, KIHEI, HI 96753-7373
(701) 320-1911
Mailing address
30 ALANIA PL APT A, KIHEI, HI 96753-7373
(701) 320-1911
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
95031621
CA
163WC0400X
Case Management Registered Nurse
R33425
ND
163WC0400X
Case Management Registered Nurse
Primary
RN-96869
HI
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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