Mann, Michelle Renee

Mann, Michelle Renee is an individual health care provider with primary practice located at 1 E Clark Bass Blvd , Mcalester OK 74501-4209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mann, Michelle Renee can be contacted via phone (918) 426-1800.

Contact Information

Primary practice address
1 E Clark Bass Blvd Mcalester OK 74501-4209
Phone: (918) 426-1800
Fax: (918) 748-7688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 89398 Oklahoma

Profile Details

NPI number 1790024560
LBN Legal business name Mann, Michelle Renee
Credentials APRN-CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2013
Last updated Nov 3rd, 2017 - about 7 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 1790024560 NPPES
Oklahoma MEDICAID 200479680A

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