Provider Demographics
NPI:1811339625
Name:SCHAVOIR, MICHELE MARIE (RN, CDOE)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:SCHAVOIR
Suffix:
Gender:F
Credentials:RN, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 LITTLE POINT ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1027
Mailing Address - Country:US
Mailing Address - Phone:860-984-6252
Mailing Address - Fax:
Practice Address - Street 1:22 LITTLE POINT ST
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1027
Practice Address - Country:US
Practice Address - Phone:860-984-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE60385163W00000X
RIRN47973163W00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No163W00000XNursing Service ProvidersRegistered Nurse