| Doctor Name: | MICHELLE DESHAIES |
| NPI Number: | 1063748176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RN |
| License Number: | 57481 |
| Business Practice Address: | 2014 Blake Ave Glenwood Springs, CO - 816014229 |
| Business Phone Number: | 9709456614 |
| Business Fax Number: | 9709470155 |
| Mailing Address: | 2014 Blake Ave, GLENWOOD SPRINGS |
| State: | CO |
| Postal Code: | 816014229 |
| Phone Number: | 9709456614 |
| Fax Number: | 9709470155 |
| NPI Enumeration Date: | 10/23/2009 |
| NPI Last Update Date: | 10/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 57481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |