Healthcare Provider Details

I. General information

NPI: 1831523398
Provider Name (Legal Business Name): MICHELE A STROUD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2013
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 LAKEVIEW DR
PADUCAH KY
42001-5619
US

IV. Provider business mailing address

67 LAKEVIEW DR
PADUCAH KY
42001-5619
US

V. Phone/Fax

Practice location:
  • Phone: 270-554-8373
  • Fax: 270-554-8987
Mailing address:
  • Phone: 270-554-8373
  • Fax: 270-554-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008259
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: