Provider Demographics
NPI:1457502213
Name:MACFARLANE, MICHELLE (MPA-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:MACFARLANE
Suffix:
Gender:F
Credentials:MPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S 300 E STE 206
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3979
Mailing Address - Country:US
Mailing Address - Phone:435-628-1662
Mailing Address - Fax:435-628-1722
Practice Address - Street 1:515 S 300 E STE 206
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3979
Practice Address - Country:US
Practice Address - Phone:435-628-1662
Practice Address - Fax:435-628-1722
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant