Michaela Persons, RN
Individual provider Active NPI Neonatal Intensive Care Registered Nurse · Shawnee, CO
NPI 1124865324 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1124865324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Intensive Care Registered Nurse 163WN0002X
- License
- 1627130 (CO)
- Practice address
- PO Box 217
Shawnee, CO 80475-0217 - Phone
- (720) 569-3771
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1627130 | CO | MD | Neonatal Intensive Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 1627130 | CO | Yes |
Addresses
Primary practice location
PO Box 217
Shawnee, CO 80475-0217
Mailing address
PO Box 217
Shawnee, CO 80475-0217
Phone (720) 569-3771
Other providers in Shawnee, CO
All providers in Shawnee, CO · Neonatal Intensive Care Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.