Individual
MARY PATRICIA MICHEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, BUILDING H-100, CAMP PENDLETON, CA 92055-5191
(760) 725-1578
(760) 758-1888
Mailing address
NAVAL HOSPITAL CAMP PENDLETON, BUILDING H-100, CAMP PENDLETON, CA 92055-5191
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
255182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1365
NP FURNISHING #
CA
Enumeration date
12/01/2005
Last updated
07/08/2007
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