Provider Demographics
NPI:1972191021
Name:CHAMBERS, MICHELLE
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11424 S CRANBERRY HILL CT
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8592
Mailing Address - Country:US
Mailing Address - Phone:801-712-4888
Mailing Address - Fax:
Practice Address - Street 1:980 E 800 N STE 201
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4282
Practice Address - Country:US
Practice Address - Phone:801-712-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No374U00000XNursing Service Related ProvidersHome Health Aide