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NPI Code Detail

MEDICARE: MS. MICHELLE ANN HOLBROOK

MEDICARE: MS. MICHELLE ANN HOLBROOK
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
1172V00000XCommunity Health Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1720895238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE ANN HOLBROOK
Provider Business Mailing Address
First Line : 8391 AUBURN BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0364
Country : US
Telephone Number : 916-923-5444
Fax Number :
Provider Business Practice Location Address
First Line : 8391 AUBURN BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0364
Country : US
Telephone Number : 916-923-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2024
Last Update Date : 05/07/2026

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