Individual
MICHELLE K MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1815 S KANNER HWY, STUART, FL 34994
(772) 288-2992
Mailing address
1815 S KANNER HWY, STUART, FL 34994-7204
(772) 781-6415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
455973
NY
207V00000X
Obstetrics & Gynecology Physician
ARNP9295217
FL
367A00000X
Advanced Practice Midwife
Primary
9295217
FL
367A00000X
Advanced Practice Midwife
F000913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001528500
—
FL
05
—
02105631
—
NY
Enumeration date
07/10/2006
Last updated
02/21/2019
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