Provider Demographics
NPI:1689976979
Name:ARMSTRONG, MICHELLE L (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:L
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:6005 HERITAGE KNOLL TER
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3256
Mailing Address - Country:US
Mailing Address - Phone:513-939-1905
Mailing Address - Fax:
Practice Address - Street 1:6005 HERITAGE KNOLL TER
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3256
Practice Address - Country:US
Practice Address - Phone:513-939-1905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN090303164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse