Healthcare Provider Details

I. General information

NPI: 1669726550
Provider Name (Legal Business Name): MICHELE ANN CAWLEY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2012
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 E MOUNTAIN VIEW AVE
ELLENSBURG WA
98926-3865
US

IV. Provider business mailing address

521 E MOUNTAIN VIEW AVE
ELLENSBURG WA
98926-3865
US

V. Phone/Fax

Practice location:
  • Phone: 509-306-1740
  • Fax: 509-962-1408
Mailing address:
  • Phone: 509-306-1740
  • Fax: 509-962-1408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00055290
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: