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MICHELLE MARLYS SOUTH LVN
NPI 1699045450
Licensed Vocational Nurse in Boulder Creek, CA

Active since January 10, 2012
18285 CHINA GRADE RD, #3, BOULDER CREEK, CA 95006(831) 419-3116 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Marlys South Lvn NPPES

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

MICHELLE MARLYS SOUTH LVN (NPI 1699045450) is an individual licensed vocational nurse in Boulder Creek, California, licensed in California (220999) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1699045450
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMICHELLE MARLYS SOUTHCredential: LVN
Location Address18285 CHINA GRADE RD, #3Boulder Creek, CA 95006-9188
Mailing Address18285 China Grade Rd Spc 3Boulder Creek, CA 95006-9100 · (831) 419-3116
Phone(831) 419-3116
Sole ProprietorYes
Enumeration DateJanuary 10, 2012
✔ NPI 1699045450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 220999
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
18285 CHINA GRADE RD, Boulder Creek, CA 95006
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle South's NPI number?

The NPI number for Michelle South is 1699045450. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Where is Michelle South located?

Michelle South practices at 18285 China Grade Rd #3, Boulder Creek, CA 95006. The listed phone number is (831) 419-3116.

What is Michelle South's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Michelle South was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.