Queen, Michelle Lourdes

Queen, Michelle Lourdes is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 130 , Canton GA 30115-8017. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Queen, Michelle Lourdes can be contacted via phone (678) 493-2527.

Contact Information

Primary practice address
460 Northside Cherokee Blvd Ste 130 Canton GA 30115-8017
Phone: (678) 493-2527
Fax: (678) 493-5608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN159750 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN159750 Georgia

Profile Details

NPI number 1861656365
LBN Legal business name Queen, Michelle Lourdes
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated Apr 19th, 2022 - about 2 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 1861656365 NPPES
Georgia Other RN159750 STATE OF GEORGIA BOARD OF NURSING
Georgia Other F0508073 STATE OF GEORGIA BOARD OF NURSING

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