Healthcare Provider Details

I. General information

NPI: 1861727042
Provider Name (Legal Business Name): MICHELLE T STOKES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 04/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MEDICAL BLVD STE 107
SPRING HILL FL
34609-0221
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 101
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 352-515-6944
  • Fax: 352-616-6937
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9218508
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: