Powell, Michelle Ann

Powell, Michelle Ann is an individual health care provider with primary practice located at 317 S Dixie Fwy , New Smyrna Beach FL 32168-7158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Michelle Ann can be contacted via phone (386) 424-1414.

Contact Information

Primary practice address
317 S Dixie Fwy New Smyrna Beach FL 32168-7158
Phone: (386) 424-1414
Fax: (386) 424-9130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9232867 Florida

Profile Details

NPI number 1376832816
LBN Legal business name Powell, Michelle Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Oct 19th, 2015 - about 9 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 1376832816 NPPES
Florida MEDICAID 003750400

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