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NPI Code Detail

MEDICARE: MICHELLE DINKENS RN

MEDICARE:   MICHELLE  DINKENS  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 Nurse22591357NY

General Provider Information

NPI Number : 1760667281
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DINKENS RN
Provider Business Mailing Address
First Line : 123 CRERAND CIR
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-4370
Country : US
Telephone Number : 585-247-4265
Fax Number :
Provider Business Practice Location Address
First Line : 123 CRERAND CIR
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-4370
Country : US
Telephone Number : 585-247-4265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2008
Last Update Date : 01/03/2008

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