Healthcare Provider Details

I. General information

NPI: 1801280458
Provider Name (Legal Business Name): SUSAN MICHAELS ARNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2015
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 VETERANS WAY
PENSACOLA FL
32507-1000
US

IV. Provider business mailing address

790 VETERANS WAY
PENSACOLA FL
32507-1000
US

V. Phone/Fax

Practice location:
  • Phone: 850-912-2000
  • Fax: 850-912-2471
Mailing address:
  • Phone: 850-912-2000
  • Fax: 850-912-2471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9178851
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9178851
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: