Johanna Marcela Michaluk, R.N.
Registered Nurse in Knoxville, TN. Individual provider (NPI-1).
NPI number1699214940
StatusActive
Last updated in NPPESJun 23, 2017
Details
- NPI
- 1699214940
- Entity type
- Individual (NPI-1)
- Name
- Johanna Marcela Michaluk
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2017
- Last updated
- Jun 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN213950 | TN | Yes |
Other names
- Johanna Marcela Ponce (Former Name)
Practice location
2018 Western AveKnoxville, TN 37921-5718
Phone 865-544-0406 · Fax 865-544-0480
Mailing address
6350 W Andrew Johnson HwyDepartment 100
Talbott, TN 37877-8605
Phone 800-355-3565 · Fax 423-714-2355
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