Healthcare Provider Details

I. General information

NPI: 1689634735
Provider Name (Legal Business Name): MICHELLE MARION NASH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE M NASH-WERNSING

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 08/03/2025
Certification Date: 08/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 STATE ROAD 580
CLEARWATER FL
33761-3166
US

IV. Provider business mailing address

PO BOX 278
ODESSA FL
33556-0278
US

V. Phone/Fax

Practice location:
  • Phone: 727-725-5121
  • Fax: 727-725-5417
Mailing address:
  • Phone: 813-766-3925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN2554102
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN2554102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: