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NPI Code Detail

MEDICARE: MICHELLE COLEMAN-NORTH

MEDICARE: MICHELLE COLEMAN-NORTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0030967OH

General Provider Information

NPI Number : 1285342410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE COLEMAN-NORTH
Provider Business Mailing Address
First Line : 528 RECESS DR
Second Line :
City : RIVERSIDE
State : OH
Zip : 45404-1882
Country : US
Telephone Number : 937-477-2743
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N SWIFT RD
Second Line :
City : ADDISON
State : IL
Zip : 60101-6105
Country : US
Telephone Number : 937-477-2743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2022
Last Update Date : 11/07/2022

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Directions to “ MICHELLE COLEMAN-NORTH ” Practice Location

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