Provider Demographics
NPI:1669077491
Name:PLENZLER, MICHELE DANAY
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:DANAY
Last Name:PLENZLER
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 1:41 OUTPOST LN
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3822
Mailing Address - Country:US
Mailing Address - Phone:843-342-3339
Mailing Address - Fax:
Practice Address - Street 1:41 OUTPOST LN
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29928-3822
Practice Address - Country:US
Practice Address - Phone:843-342-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRN214880163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse