Michelle Tucker, RN
Registered Nurse, Medical-Surgical in Beaumont, CA. Individual provider (NPI-1).
NPI number1336729243
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1336729243
- Entity type
- Individual (NPI-1)
- Name
- Michelle Tucker
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2021
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM0705X | Registered Nurse, Medical-Surgical | 95215463 | CA | Yes |
Practice location
90 Emory AveBeaumont, CA 92223-3117
Phone 951-442-1807
Mailing address
90 Emory AveBeaumont, CA 92223-3117
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