Provider Demographics
NPI:1093838203
Name:ARMBRUST, MICHELE ELAINE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ELAINE
Last Name:ARMBRUST
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 S 2ND ST
Mailing Address - Street 2:COURTHOUSE
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-1811
Mailing Address - Country:US
Mailing Address - Phone:715-748-1410
Mailing Address - Fax:715-748-1417
Practice Address - Street 1:224 S 2ND ST
Practice Address - Street 2:COURTHOUSE
Practice Address - City:MEDFORD
Practice Address - State:WI
Practice Address - Zip Code:54451-1811
Practice Address - Country:US
Practice Address - Phone:715-748-1410
Practice Address - Fax:715-748-1417
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI75861163WC1500X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered163W00000XNursing Service ProvidersRegistered Nurse