Provider Demographics
NPI:1003181751
Name:MICHEL, CAREY ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:ANN
Last Name:MICHEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CAREY
Other - Middle Name:ANN
Other - Last Name:SEMKIW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7416 N CHARLESWORTH ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1632
Mailing Address - Country:US
Mailing Address - Phone:313-982-7896
Mailing Address - Fax:
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-222-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704196936163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704196936OtherNURSING LICENSE