Larue, Michelle Yvonne

Larue, Michelle Yvonne is an individual health care provider with primary practice located at 4653 Pond Ln , Marietta GA 30062-5618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Larue, Michelle Yvonne can be contacted via phone (770) 330-5549.

Contact Information

Primary practice address
4653 Pond Ln Marietta GA 30062-5618
Phone: (770) 330-5549
Fax: (678) 615-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2632 Tennessee
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1659531945
LBN Legal business name Larue, Michelle Yvonne
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Oct 19th, 2016 - about 8 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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