Individual provider · Type 1 NPI
Michelle Sturdivant, RN
Emergency Registered Nurse · Dallas, GA
NPI number
1639553555
Active
Practice location
95 Summer Lake Cv
Dallas, GA 30157-7617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic | 146L00000X | 11853 (GA) |
| Emergency Registered Nurse Primary | 163WE0003X | RN163401 (GA) |
Emergency Registered Nurse: Definition to come...
About NPI 1639553555
Michelle Sturdivant, RN's National Provider Identifier is 1639553555, issued on Jul 10, 2015. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Dallas, GA. The record was last updated on Jul 10, 2015.