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Individual

MICHELLE L. LIDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
2671 HIGHWAY 70, MANASQUAN, NJ 08736-2605
(732) 528-6999
(732) 528-3397
Mailing address
330 E HIBISCUS BLVD, MELBOURNE, FL 32901-3155
(321) 724-2229
(321) 728-6688

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9483866
FL
367A00000X
Advanced Practice Midwife
Primary
25ME00029900
NJ
367A00000X
Advanced Practice Midwife
APRN9483866
FL

Other

Enumeration date
09/27/2006
Last updated
11/28/2023
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