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Individual

MS. MICHELE L ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
2035 GLENWOOD DR, WINTER PARK, FL 32792-3307
(407) 960-2112
(407) 960-7024
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 960-2112
(407) 960-7024

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN3167932
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN3167932
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP3167932
FL
367A00000X
Advanced Practice Midwife
Primary
APRN3167932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010584100
FL
01
NP392
MEDICARE HF
FL
Enumeration date
02/05/2014
Last updated
06/15/2021
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