Provider Demographics
NPI:1538992029
Name:WETZEL, MICHELLE MARIE (RN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:WETZEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:HUBBARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2803
Mailing Address - Country:US
Mailing Address - Phone:817-308-8962
Mailing Address - Fax:
Practice Address - Street 1:113 S 5TH ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2803
Practice Address - Country:US
Practice Address - Phone:785-420-0095
Practice Address - Fax:833-256-7073
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX711054163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health