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Individual

MS. MICHELLE MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
77 W UNDERWOOD ST, ORLANDO, FL 32806-1122
(321) 843-8164
(407) 389-5312
Mailing address
77 W UNDERWOOD ST, ORLANDO, FL 32806-1122
(321) 843-8164
(407) 389-5312

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN9308597
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9308597
FL

Other

Enumeration date
10/05/2017
Last updated
11/05/2020
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