MEDICARE: MICHELLE K VOGELSANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN083708	AZ

General Provider Information

NPI Number	:	1174877302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE K VOGELSANG

Provider Business Mailing Address
First Line	:	20402 N 33RD AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-3062
Country	:	US
Telephone Number	:	623-445-4952
Fax Number	:	623-445-5083

Provider Business Practice Location Address
First Line	:	20402 N 33RD AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-3062
Country	:	US
Telephone Number	:	623-445-4952
Fax Number	:	623-445-5083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2012
Last Update Date	:	11/09/2012

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