Provider Demographics
NPI:1386430585
Name:HAGGINS, MICHELLE D
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:D
Last Name:HAGGINS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7472 LINDBROOK CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1187
Mailing Address - Country:US
Mailing Address - Phone:614-641-6069
Mailing Address - Fax:
Practice Address - Street 1:7472 LINDBROOK CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1187
Practice Address - Country:US
Practice Address - Phone:614-641-6069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide