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Michelle Marie Fodczuk
Case Management Registered Nurse in Bonney Lake, Washington
NPI 1417642562

Michelle Marie Fodczuk is a Case Management Registered Nurse based in Bonney Lake, WA and is specialized in Case Management. Michelle Marie Fodczuk practices in Bonney Lake, WA. The NPI Number for Michelle Marie Fodczuk is 1417642562 and holds a License No. RN0119006 (Washington).

The current practice location address for Michelle Marie Fodczuk is 4926 N Island Dr E, Bonney Lake, WA and can be reached out via phone at 425-365-6968 and via fax at 425-386-5065.

Location: 4926 N Island Dr E, Bonney Lake, WA, 98391-8608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417642562
Provider Name
Michelle Marie Fodczuk
Credential
Provider Entity Type
Individual
Gender
Female
Address
4926 N Island Dr E, Bonney Lake, WA, 98391-8608
Phone Number
425-365-6968
Fax Number
425-386-5065
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4926 N Island Dr E
City
Bonney Lake
State
Washington
Zip
98391-8608
Phone Number
425-365-6968
Fax Number
425-386-5065
person
Provider Business Mailing Address Details
Address
4926 N Island Dr E
City
Bonney Lake
State
Washington
Zip
98391-8608
Phone Number
425-365-6968
Fax Number
425-386-5065
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
RN0119006 (Washington)
Definition
Definition to come...
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