Individual
MRS. MICHELLE JEAN STREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
6913 N MAIN ST STE 300, GRANGER, IN 46530-8039
(574) 647-1500
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28091767A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005268A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201272400
—
IN
Enumeration date
10/23/2014
Last updated
10/23/2023
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