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NPI Code Detail

MEDICARE: MRS. AMY MICHALSKI RN

MEDICARE:  MRS. AMY  MICHALSKI  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse165726TN

General Provider Information

NPI Number : 1316738776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY MICHALSKI RN
Provider Business Mailing Address
First Line : 1025 PEERLESS XING NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3764
Country : US
Telephone Number : 423-771-2456
Fax Number :
Provider Business Practice Location Address
First Line : 170 MOUSE CREEK RD NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3840
Country : US
Telephone Number : 423-458-1426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/15/2025

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Directions to “ MRS. AMY MICHALSKI RN” Practice Location

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