Michaud, Annalise Kathleen

Michaud, Annalise Kathleen is an individual health care provider with primary practice located at 515 N Bradner Ave , Marion IN 46952-2449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Michaud, Annalise Kathleen can be contacted via phone (765) 664-8000.

Contact Information

Primary practice address
515 N Bradner Ave Marion IN 46952-2449
Fax: (877) 731-2066
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71010241A Indiana

Profile Details

NPI number 1245840081
LBN Legal business name Michaud, Annalise Kathleen
Credentials MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245840081 NPPES
Indiana Other 71010241A APRN PRESCRIPTIVE AUTHORITY
Indiana Other 71010241B APRN PRESCRIPTIVE AUTHORITY

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