Provider Demographics
NPI:1740338409
Name:GUREL, MICHELLE HANNAH (RN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:HANNAH
Last Name:GUREL
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 1:51 MALCOLM RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3439
Mailing Address - Country:US
Mailing Address - Phone:617-395-8360
Mailing Address - Fax:
Practice Address - Street 1:0 EMERSON PL
Practice Address - Street 2:SUITE 112
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2241
Practice Address - Country:US
Practice Address - Phone:617-724-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225440163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care