| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHELLE MASK | 1689396533 | 2022-09-16 |
Michelle Mask is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689396533. Registration indicates Michelle Mask is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Michelle Mask |
| Practice Office Address | 33330 8TH AVE S FEDERAL WAY, WA US |
| Practice Office Telephone | 2539452000 |
| Mailing Address | PO BOX 27414 FEDERAL WAY, WA 980934414 US |
| Business Telephone | 2533313446 |
| Code | Practice | License No State |
|---|---|---|
| 164W00000X PRIMARY | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | LP60764869
WA |