Individual
MRS. MICHELLE HELENE CORMIER-BOECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(813) 757-8343
Mailing address
301 N ALEXANDER ST FL 3, PLANT CITY, FL 33563-4303
(813) 757-8343
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP1968192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304164600
—
FL
Enumeration date
06/06/2007
Last updated
08/15/2022
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