Healthcare Provider Details

I. General information

NPI: 1720724222
Provider Name (Legal Business Name): MICHELLE SEHMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2022
Last Update Date: 05/07/2022
Certification Date: 05/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 MONTE VILLA PKWY
BOTHELL WA
98021-8972
US

IV. Provider business mailing address

3330 MONTE VILLA PKWY
BOTHELL WA
98021-8972
US

V. Phone/Fax

Practice location:
  • Phone: 425-408-7733
  • Fax: 425-408-7740
Mailing address:
  • Phone: 435-408-7733
  • Fax: 425-408-7740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00103596
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: