| Doctor Name: | MICHELLE POLLITT |
| NPI Number: | 1104173418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 3307 Renner Dr Fortuna, CA - 955403119 |
| Business Phone Number: | 7077257390 |
| Business Fax Number: | |
| Mailing Address: | 2016 Buhne St, EUREKA |
| State: | CA |
| Postal Code: | 955013108 |
| Phone Number: | 5403539900 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2012 |
| NPI Last Update Date: | 04/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |