Healthcare Provider Details

I. General information

NPI: 1821532987
Provider Name (Legal Business Name): MICHELE AYOTTE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 33100 BOX UNIT 33100
APO AE
09180-3100
US

IV. Provider business mailing address

UNIT 33100 BOX
APO AE
09180-3100
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-4590
  • Fax:
Mailing address:
  • Phone: 314-590-4590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP9681
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: