MICHELLE LYNN POULSEN - NPI 1417210295 - Specialist in Cheektowaga, NY

Q: What is Michelle Poulsen's NPI number?

The NPI number for Michelle Poulsen is 1417210295. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Michelle Poulsen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Poulsen was last updated on June 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Michelle Lynn Poulsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE LYNN POULSEN (NPI 1417210295) is an individual specialist in Cheektowaga, New York, licensed in New York (257184) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1417210295

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMICHELLE LYNN POULSEN

Location Address4635 UNION RDCheektowaga, NY 14225-1851

Mailing Address4635 Union RdCheektowaga, NY 14225-1851 · (716) 505-5700 · Fax (716) 633-9351

Phone(716) 505-5700

Fax(716) 633-9351

Sole ProprietorNo

Enumeration DateJune 18, 2012

✔ NPI 1417210295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 257184

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4635 UNION RD, Cheektowaga, NY 14225

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