Van De Wall, Michelle J

Van De Wall, Michelle J is an individual health care provider with primary practice located at 781 Cypress Village Blvd , Sun City Center FL 33573-6801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Van De Wall, Michelle J can be contacted via phone (727) 824-0780.

Contact Information

Primary practice address
781 Cypress Village Blvd Sun City Center FL 33573-6801
Phone: (727) 824-0780
Fax: (727) 568-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9165034 Florida

Profile Details

NPI number 1376846337
LBN Legal business name Van De Wall, Michelle J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2010
Last updated Jan 24th, 2024 - about 10 months 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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