Antanovich, Michelle Lea
Antanovich, Michelle Lea is an individual health care provider with primary practice located at 1485 Wassail Ln , Punta Gorda FL 33983-6028. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Antanovich, Michelle Lea can be contacted via phone (941) 286-5033.Contact Information
Primary practice address
1485 Wassail Ln
Punta Gorda FL 33983-6028
Phone: (941) 286-5033
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | SP022065 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP006096B | Pennsylvania |
Profile Details
NPI number | 1487756458 |
---|---|
LBN Legal business name | Antanovich, Michelle Lea |
Credentials | CRNP PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2006 |
Last updated | Mar 11th, 2024 - about 9 months 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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