Provider Demographics
NPI:1063261204
Name:MCNIFF, MICHELE C (RN MSN HWNC-BC AHN-B)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:C
Last Name:MCNIFF
Suffix:
Gender:F
Credentials:RN MSN HWNC-BC AHN-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:692 W SOLANA CIR
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2357
Mailing Address - Country:US
Mailing Address - Phone:650-863-1746
Mailing Address - Fax:
Practice Address - Street 1:692 W SOLANA CIR
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2357
Practice Address - Country:US
Practice Address - Phone:650-863-1746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531855163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse