Bandurka, Michelle M

Bandurka, Michelle M is an sole proprietor health care provider with primary practice located at 941 W Morse Blvd Ste 100 , Winter Park FL 32789-3781. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bandurka, Michelle M can be contacted via phone (321) 207-9029.

Contact Information

Primary practice address
941 W Morse Blvd Ste 100 Winter Park FL 32789-3781
Phone: (321) 207-9029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11114-COA Ohio

Profile Details

NPI number 1619093366
LBN Legal business name Bandurka, Michelle M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 21st, 2022 - about 3 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619093366 NPPES
Ohio MEDICAID 3012797

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