Healthcare Provider Details

I. General information

NPI: 1497672026
Provider Name (Legal Business Name): MICHELLE S KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE SUE GARRETT RN

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1643 N PEOPLES RD
STANTON MI
48888-9426
US

IV. Provider business mailing address

1643 N PEOPLES RD
STANTON MI
48888-9426
US

V. Phone/Fax

Practice location:
  • Phone: 989-309-0779
  • Fax:
Mailing address:
  • Phone: 989-309-0779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number4704323694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: