Pember, Michelle Ann

Pember, Michelle Ann is an sole proprietor health care provider with primary practice located at 4008 Windmill Ln , Janesville WI 53546-4238. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pember, Michelle Ann can be contacted via phone (608) 290-9741.

Contact Information

Primary practice address
4008 Windmill Ln Janesville WI 53546-4238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1760664791
LBN Legal business name Pember, Michelle Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 2007 - about 17 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 1760664791 NPPES
Wisconsin MEDICAID 35015400

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