Individual
MICHELLE P ISACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604-3597
(888) 731-8994
Mailing address
14355 MIRANDA WAY, LOS ALTOS HILLS, CA 94022-2032
(888) 731-8994
(888) 732-8119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014439A
IN
363L00000X
Nurse Practitioner
7718-33
WI
363LF0000X
Family Nurse Practitioner
7718-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760432157
—
WI
Enumeration date
05/10/2006
Last updated
03/15/2024
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