Individual
MRS. MICHELLE MARIA VALERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
18301 144TH AVE, SPRINGFIELD GARDENS, NY 11413-3207
(347) 446-7180
Mailing address
18301 144TH AVE, SPRINGFIELD GARDENS, NY 11413-3207
(347) 446-7180
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
468313
NY
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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