MICHELLE EVERSDYK


Address: 1934 Tumbleweed Cir, West Bend, WI 53095-8561
Phone: 4145309616

MICHELLE EVERSDYK (NPI# 1659788206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659788206
Entity Type Individual
Full Name MICHELLE EVERSDYK
Practice Address 1934 Tumbleweed Cir
West Bend
WI 53095-8561
Practice Telephone 4145309616
Mailing Telephone 4145309616
Enumeration Date 2014-07-15
Last Update Date 2014-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
141053 WI Nursing Service Providers

Office Location

Street Address 1934 TUMBLEWEED CIR
City WEST BEND
State WI
Zip Code 53095-8561

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Taxonomy Information

Taxonomy Code 163WN0002X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Neonatal Intensive Care

Taxonomy Definition

Definition to come...

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Competitor

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City WEST BEND
Zip Code 53095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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