Healthcare Provider Details

I. General information

NPI: 1366854598
Provider Name (Legal Business Name): FHTEACHIA MICHELLE ANDREWS ARNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 OLD KINGS RD N STE 123
PALM COAST FL
32137-4603
US

IV. Provider business mailing address

9 OLD KINGS RD N STE 123
PALM COAST FL
32137-4603
US

V. Phone/Fax

Practice location:
  • Phone: 386-680-0016
  • Fax:
Mailing address:
  • Phone: 386-680-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP9454635
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number404869
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9454635
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00496800
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9454635
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: