Provider Demographics
NPI:1245071497
Name:CURTIS, MICHELLE (RN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 THIBODEAU DR
Mailing Address - Street 2:
Mailing Address - City:LEVANT
Mailing Address - State:ME
Mailing Address - Zip Code:04456-4564
Mailing Address - Country:US
Mailing Address - Phone:207-944-4510
Mailing Address - Fax:
Practice Address - Street 1:44 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:ME
Practice Address - Zip Code:04419-3453
Practice Address - Country:US
Practice Address - Phone:207-944-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN46457163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool