Provider Demographics
NPI:1427813419
Name:ZEGEL, MICHELE ELIZABETH
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:ELIZABETH
Last Name:ZEGEL
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 1:75 HATTON AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-6805
Mailing Address - Country:US
Mailing Address - Phone:407-724-9684
Mailing Address - Fax:
Practice Address - Street 1:75 HATTON AVE APT 103
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-6805
Practice Address - Country:US
Practice Address - Phone:407-724-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK209607163W00000X
CA95361763163W00000X
WARN6132446163W00000X
FLRN9509390163W00000X
OR202112652RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse