Provider Demographics
NPI:1578040531
Name:HENSCHEL, MICHELLE FRANCIS (NP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FRANCIS
Last Name:HENSCHEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 OCEANVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6737
Mailing Address - Country:US
Mailing Address - Phone:443-631-0383
Mailing Address - Fax:
Practice Address - Street 1:2828 MILLS PARK DR STE E
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-4711
Practice Address - Country:US
Practice Address - Phone:916-243-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236177176B00000X
CA95008465363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health