Provider Demographics
NPI:1093782997
Name:HARBERT, MICHELLE ANN (RN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:HARBERT
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:PSC 826 BOX 286
Mailing Address - Street 2:
Mailing Address - City:FPO/AE
Mailing Address - State:UK
Mailing Address - Zip Code:09420
Mailing Address - Country:GB
Mailing Address - Phone:044-018-9561
Mailing Address - Fax:
Practice Address - Street 1:PSC 821 BOX 22
Practice Address - Street 2:
Practice Address - City:FPO/AE
Practice Address - State:UK
Practice Address - Zip Code:09421
Practice Address - Country:GB
Practice Address - Phone:044-018-9561
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0064683163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse