Provider Demographics
NPI:1043467590
Name:SOLVESKY, MICHELLE MARIE ANGELA (RN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE ANGELA
Last Name:SOLVESKY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38201 W INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:TONOPAH
Mailing Address - State:AZ
Mailing Address - Zip Code:85354-7301
Mailing Address - Country:US
Mailing Address - Phone:623-474-5207
Mailing Address - Fax:623-474-5214
Practice Address - Street 1:38201 W INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:TONOPAH
Practice Address - State:AZ
Practice Address - Zip Code:85354-7301
Practice Address - Country:US
Practice Address - Phone:623-474-5207
Practice Address - Fax:623-474-5214
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ866000521390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program