Nelson, Michelle Lyn

Nelson, Michelle Lyn is an sole proprietor health care provider with primary practice located at 386 Tuttle Ln , Burbank WA 99323-9717. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Nelson, Michelle Lyn can be contacted via phone (509) 302-1459.

Contact Information

Primary practice address
386 Tuttle Ln Burbank WA 99323-9717
Phone: (509) 302-1459
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 00001513 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1043554181
LBN Legal business name Nelson, Michelle Lyn
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Feb 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043554181 NPPES
Washington MEDICAID 00001513

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