Healthcare Provider Details

I. General information

NPI: 1194553990
Provider Name (Legal Business Name): MICHELLE URIE DUKHOVNY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8409 ALONSO CT
BAKERSFIELD CA
93314-8214
US

IV. Provider business mailing address

8409 ALONSO CT
BAKERSFIELD CA
93314-8214
US

V. Phone/Fax

Practice location:
  • Phone: 562-229-2322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95219271
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95002954
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: