Healthcare Provider Details

I. General information

NPI: 1043954670
Provider Name (Legal Business Name): MICHELLE MCGEE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 THILLE ST STE 105
VENTURA CA
93003-5494
US

IV. Provider business mailing address

5850 THILLE ST STE 105
VENTURA CA
93003-5494
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-6836
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95233265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: