Provider Demographics
NPI:1427426790
Name:STUDEMAN, MICHELLE DANIELLE (CNA)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:DANIELLE
Last Name:STUDEMAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 MARR ST APT D
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3583
Mailing Address - Country:US
Mailing Address - Phone:509-470-0232
Mailing Address - Fax:
Practice Address - Street 1:623 MARR ST APT D
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3583
Practice Address - Country:US
Practice Address - Phone:509-470-0232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide