Mahaney, Michelle

Mahaney, Michelle is an individual health care provider with primary practice located at 7981 Gladiolus Dr , Ft Myers FL 33908-4154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mahaney, Michelle can be contacted via phone (239) 425-6629.

Contact Information

Primary practice address
7981 Gladiolus Dr Ft Myers FL 33908-4154
Phone: (239) 425-6629
Fax: (239) 425-0795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 3362742 Florida

Profile Details

NPI number 1336190073
LBN Legal business name Mahaney, Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 7th, 2008 - about 17 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 1336190073 NPPES
Florida MEDICAID 303976500

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