| Doctor Name: | MRS. MICHELLE HOMER |
| NPI Number: | 1063698488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN 118116 |
| Business Practice Address: | 411 Waverley Oaks Rd Suite 305 Waltham, MA - 024528448 |
| Business Phone Number: | 7816476564 |
| Business Fax Number: | |
| Mailing Address: | 411 Waverley Oaks Rd, Suite 305 WALTHAM |
| State: | MA |
| Postal Code: | 024528448 |
| Phone Number: | 7816476564 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2008 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | RN 118116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |