Provider Demographics
NPI:1629473129
Name:MICHELLE DURLING
Entity Type:Organization
Organization Name:MICHELLE DURLING
Other - Org Name:MICHELLE DURLING RN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DURLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-817-6954
Mailing Address - Street 1:2057 RENSSELAER AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-4129
Mailing Address - Country:US
Mailing Address - Phone:518-817-6954
Mailing Address - Fax:
Practice Address - Street 1:2057 RENSSELAER AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-4129
Practice Address - Country:US
Practice Address - Phone:518-817-6954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY518156-1163W00000X, 163WH0200X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No163WP0200XNursing Service ProvidersRegistered NursePediatricsGroup - Single Specialty