Healthcare Provider Details

I. General information

NPI: 1740511815
Provider Name (Legal Business Name): MICHELLE DAN EL CARR M.S.N., C.N.S., BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 EDGEWATER DR STE 300
ORLANDO FL
32804-6350
US

IV. Provider business mailing address

6 SAYBROOK PT
SAVANNAH GA
31419-8174
US

V. Phone/Fax

Practice location:
  • Phone: 407-435-1965
  • Fax:
Mailing address:
  • Phone: 407-435-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCNS 9206178
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: