Individual
MICHELLE LEANN PROWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1005 BELLEFONTAINE AVE STE 230, LIMA, OH 45804-2882
(419) 998-8255
(419) 226-8335
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0026962
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0026962
OH
Other
Enumeration date
07/06/2020
Last updated
08/24/2022
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