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Individual
MICHELLE R MOTTERN
Active
Individual
MICHELLE R MOTTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11002262
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
2021031024
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11002262
FL
Other
Enumeration date
09/12/2019
Last updated
02/28/2026
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