Provider Demographics
NPI:1396247136
Name:KRAHMER, MICHELLE KAY
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KAY
Last Name:KRAHMER
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 1:609 S STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-4751
Mailing Address - Country:US
Mailing Address - Phone:815-297-7954
Mailing Address - Fax:
Practice Address - Street 1:609 S STEWART AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-4751
Practice Address - Country:US
Practice Address - Phone:815-297-7954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide