Nance, Michelle Renea

Nance, Michelle Renea is an sole proprietor health care provider with primary practice located at 58945 Business Center Dr , Yucca Valley CA 92284-7307. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Nance, Michelle Renea can be contacted via phone (760) 369-1074.

Contact Information

Primary practice address
58945 Business Center Dr Yucca Valley CA 92284-7307
Phone: (760) 369-1074
Fax: (760) 365-2072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1639630171
LBN Legal business name Nance, Michelle Renea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2019
Last updated Mar 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639630171 NPPES
California MEDICAID 1881788503

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