Provider Demographics
NPI:1649159104
Name:RAHDEN, MICHELLE (RN, BSN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:RAHDEN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19106 N 99TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6259
Mailing Address - Country:US
Mailing Address - Phone:801-706-8667
Mailing Address - Fax:
Practice Address - Street 1:19106 N 99TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6259
Practice Address - Country:US
Practice Address - Phone:801-706-8667
Practice Address - Fax:801-706-8667
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT341562-3102163WC0200X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine