Individual
MRS. MICHELLE LEA TIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
3510 ANDERSON HWY, POWHATAN, VA 23139-5846
(804) 598-3100
(804) 598-2965
Mailing address
3510 ANDERSON HWY, POWHATAN, VA 23139-5846
(804) 598-3100
(804) 598-2965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24194563
VA
Other
Enumeration date
05/05/2025
Last updated
10/14/2025
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