Provider Demographics
NPI:1346770930
Name:DEMPSEY, MICHELLE YVETTE
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:YVETTE
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 NE 207TH AVE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:FL
Mailing Address - Zip Code:32696-7343
Mailing Address - Country:US
Mailing Address - Phone:352-246-2515
Mailing Address - Fax:
Practice Address - Street 1:931 NE 207TH AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:FL
Practice Address - Zip Code:32696
Practice Address - Country:US
Practice Address - Phone:352-246-2515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide