Healthcare Provider Details

I. General information

NPI: 1871870964
Provider Name (Legal Business Name): MICHELLE NICOLLE HUFSTETLER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2011
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 RIVER RD
SALINAS CA
93908-9601
US

IV. Provider business mailing address

PO BOX 1750
ATASCADERO CA
93423-1750
US

V. Phone/Fax

Practice location:
  • Phone: 805-550-3929
  • Fax: 805-462-9183
Mailing address:
  • Phone: 805-550-3929
  • Fax: 805-462-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: