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Individual

MRS. DONNA JEAN MICHAUD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5606 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429-7572
(352) 795-9266
(352) 795-4879
Mailing address
5606 W NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429-7572
(352) 795-9266
(352) 795-4879

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9225024
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00265603
RAIL ROAD MEDICARE
FL
01
Y080K
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
04/20/2006
Last updated
07/08/2007
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