Provider Demographics
NPI:1447568290
Name:WINCHELL, MICHELE H (RN MSN NP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:H
Last Name:WINCHELL
Suffix:
Gender:F
Credentials:RN MSN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8885 STATE ROAD 237
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-8567
Mailing Address - Country:US
Mailing Address - Phone:812-547-7011
Mailing Address - Fax:
Practice Address - Street 1:109 US HIGHWAY 66 E
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-2799
Practice Address - Country:US
Practice Address - Phone:812-547-3447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28130667A363L00000X
KY3006861363LF0000X
IN71007879A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1079761OtherKENTUCKY BOARD OF NURSING-RN LICENCE
IN28130667AOtherHEALTH PROFESSIONS BUREAU-IND RN LICENSE
KY3006861OtherKENTUCKY BOARD OF NURSING--APRN LICENSE
F0111085OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAN (AANP)