MEDICARE: MICHELLE BLOCK RN

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	RN693526	PA

General Provider Information

NPI Number	:	1194298372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BLOCK RN

Provider Business Mailing Address
First Line	:	200 HOLLY DR
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-2030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 HOLLY DR
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-2030
Country	:	US
Telephone Number	:	267-644-5347
Fax Number	:

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

Provider Enumeration Date	:	01/09/2019
Last Update Date	:	01/09/2019

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Directions to “ MICHELLE BLOCK RN” Practice Location

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