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Individual
MICHELLE M FABACHER
Active
Individual
MICHELLE M FABACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP01233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03432767
—
MS
05
—
1133906
—
LA
Enumeration date
04/08/2008
Last updated
10/24/2008
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