Individual provider · Type 1 NPI

Michael Jon Versalle, R.N.

Registered Nurse · Paw Paw, MI

NPI number 1174821813 Active

Practice location

801 Hazen Street, Suite C.
Paw Paw, MI 49079-0249

Fax (269) 657-3474

Mailing address

P.o. Box 249, 801 Hazen Street, Suite C.
Paw Paw, MI 49079-0249

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704222075 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174821813

Michael Jon Versalle, R.N.'s National Provider Identifier is 1174821813, issued on Mar 4, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Paw Paw, MI. The record was last updated on Mar 4, 2011.