Individual
NANCY G. MICHAELIS
Active
Individual
NANCY G. MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101047020
VA
207R00000X
Internal Medicine Physician
Primary
MD0000051271
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010222559
—
VA
05
—
010230934
—
VA
05
—
Q006729
—
TN
Enumeration date
07/29/2005
Last updated
04/14/2016
Update your record
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