Healthcare Provider Details

I. General information

NPI: 1396707527
Provider Name (Legal Business Name): MICHELLE RENEE WRITESEL CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 TAMIAMI TRL N
NAPLES FL
34102-5803
US

IV. Provider business mailing address

340 TAMIAMI TRL N STE 162
NAPLES FL
34102-5803
US

V. Phone/Fax

Practice location:
  • Phone: 239-316-3323
  • Fax:
Mailing address:
  • Phone: 239-316-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number245991
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA06064 NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: