Individual provider · NPI-1

Michelle A Anderson, CHW

Community Health Worker · Lansing, MI

NPI number1124840814
StatusActive
Last updated in NPPESOct 25, 2024

Details

NPI
1124840814
Entity type
Individual (NPI-1)
Name
Michelle A Anderson
Credential
CHW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2024
Certification date
Oct 24, 2024
Last updated
Oct 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

2633 Hopkins Ave
Lansing, MI 48912-4474

Phone 517-755-7636

Mailing address

2633 Hopkins Ave
Lansing, MI 48912-4474

Phone 517-755-7636

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