Michelle Marie Anderson
Individual provider Active NPI Home Health Aide · Mingo Junction, OH
NPI 1447435557 · NPPES record last updated Jan 8, 2008
Key facts
- NPI
- 1447435557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 371808231091 (OH)
- Practice address
- 114 Harvey Ave
Mingo Junction, OH 43938-1244 - Phone
- (740) 632-8105
- NPI assigned
- Jan 8, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 371808231091 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 371808231091 | OH | Yes |
Addresses
Primary practice location
114 Harvey Ave
Mingo Junction, OH 43938-1244
Mailing address
114 Harvey Ave
Mingo Junction, OH 43938-1244
Phone (740) 632-8105
Other providers in Mingo Junction, OH
All providers in Mingo Junction, OH · Home Health Aide in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2008. 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.