Provider Demographics
NPI:1538878418
Name:MOUCATEL, MICHELE CARA (RN)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:CARA
Last Name:MOUCATEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 UPPER SHAD RD
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-2237
Mailing Address - Country:US
Mailing Address - Phone:914-523-9234
Mailing Address - Fax:
Practice Address - Street 1:203 UPPER SHAD RD
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-2237
Practice Address - Country:US
Practice Address - Phone:914-523-9234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351040163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy