Provider Demographics
NPI:1386031904
Name:SOULIGNY, MICHELE K (RN, MSN-ED)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:K
Last Name:SOULIGNY
Suffix:
Gender:F
Credentials:RN, MSN-ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 DAVIS AVE S
Mailing Address - Street 2:APT T302
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6235
Mailing Address - Country:US
Mailing Address - Phone:603-738-1007
Mailing Address - Fax:
Practice Address - Street 1:4600 DAVIS AVE S
Practice Address - Street 2:APT T302
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6235
Practice Address - Country:US
Practice Address - Phone:603-738-1007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH045856-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse