Dickerson, Michele L

Dickerson, Michele L is an individual health care provider with primary practice located at 15080 Renaissance Ave , Odessa FL 33556-4387. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dickerson, Michele L can be contacted via phone (941) 400-5031.

Contact Information

Primary practice address
15080 Renaissance Ave Odessa FL 33556-4387
Phone: (941) 400-5031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11012743 Florida

Profile Details

NPI number 1801478706
LBN Legal business name Dickerson, Michele L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Apr 21st, 2021 - about 4 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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