Provider Demographics
NPI:1689332025
Name:GETTER, MICHELLE (RN, BC-NC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:GETTER
Suffix:
Gender:F
Credentials:RN, BC-NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S94W23735 KUNZENDORF CT
Mailing Address - Street 2:
Mailing Address - City:BIG BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53103-9580
Mailing Address - Country:US
Mailing Address - Phone:262-333-9905
Mailing Address - Fax:
Practice Address - Street 1:S94W23735 KUNZENDORF CT
Practice Address - Street 2:
Practice Address - City:BIG BEND
Practice Address - State:WI
Practice Address - Zip Code:53103-9580
Practice Address - Country:US
Practice Address - Phone:262-333-9905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI170725-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse