Individual
MAGGI JO MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1901 S CEDAR ST, STE 205, TACOMA, WA 98405-2308
(253) 301-6980
(253) 272-7203
Mailing address
1901 S CEDAR ST, STE 205, TACOMA, WA 98405-2308
(253) 301-6980
(253) 272-7203
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN00058893
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30004844
WA
Other
Enumeration date
01/24/2007
Last updated
01/27/2012
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