Provider Demographics
NPI:1578836979
Name:MCCRAYER, MICHELLE JUEL (BSN, RN)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:JUEL
Last Name:MCCRAYER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 HEWITT AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1512
Mailing Address - Country:US
Mailing Address - Phone:716-424-3182
Mailing Address - Fax:
Practice Address - Street 1:42 HEWITT AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1512
Practice Address - Country:US
Practice Address - Phone:716-424-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609232163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse