Individual
MRS. DEANNA MICHAUD
Active
Individual
MRS. DEANNA MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001269
CT
363AM0700X
Medical Physician Assistant
Primary
001269
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004245272
—
CT
01
—
010269
CONNECTICARE
CT
01
—
1192828
USA
CT
01
—
7346891
AETNA
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
01/23/2006
Last updated
08/17/2023
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