Healthcare Provider Details

I. General information

NPI: 1093258642
Provider Name (Legal Business Name): NAGELEY MICHEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2016
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 OAKLEY SEAVER DR STE 101
CLERMONT FL
34711-1961
US

IV. Provider business mailing address

1230 OAKLEY SEAVER DR STE 101
CLERMONT FL
34711-1961
US

V. Phone/Fax

Practice location:
  • Phone: 407-796-2406
  • Fax: 407-604-0252
Mailing address:
  • Phone: 407-796-2406
  • Fax: 407-604-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 9245433
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9245433
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: