Individual
MR. MATTHEW DAVID MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
400 W CAMINO CASA VERDE STE 100, GREEN VALLEY, AZ 85614-3569
(520) 625-1760
(520) 648-9496
Mailing address
PO BOX 22224, BELFAST, ME 04915-4473
(469) 803-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279320
AZ
363LF0000X
Family Nurse Practitioner
Primary
F07220888
AZ
Other
Enumeration date
07/15/2022
Last updated
06/30/2026
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