Michelle King, CRNA
Nurse Anesthetist, Certified Registered in Wilmington, NC. Individual provider (NPI-1).
NPI number1164067815
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1164067815
- Entity type
- Individual (NPI-1)
- Name
- Michelle King
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2019
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 276301 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NC |
Other names
- Michelle Lea (Former Name)
Practice location
2131 S 17th StWilmington, NC 28401-7407
Phone 619-794-8148
Mailing address
1630 Barclay Pointe Blvd Apt 9203Wilmington, NC 28412-1107
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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