Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE MARIE FODCZUK
Active Sole ProprietorMICHELLE MARIE FODCZUK is a Case Management Nurse healthcare provider located in BONNEY LAKE, Washington. NPI 1417642562 is currently active in the NPPES registry. Verify at CMS.
Case Management Nurse · BONNEY LAKE, WA
Registration Details
- NPI Number
- 1417642562
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2023 (3.3927504614606 yrs)
- Last Updated
- Apr 5, 2023
- License
-
RN0119006 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4926 N ISLAND DR EBONNEY LAKE, WA, 983918608Browse WA providers · Browse ZIP 98391
- Phone
- 4253656968
- Fax
- 4253865065
- Primary Specialty
-
Case Management Nurse
163WC0400X
Other Case Management Nurse Providers in BONNEY LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| KIRSTEN LYNNE NELSON | RN, MN | 1619863925 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.