Healthcare Provider Details

I. General information

NPI: 1770842924
Provider Name (Legal Business Name): ERIN MICHEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2012
Last Update Date: 05/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8595 PICARDY AVE SUITE 320
BATON ROUGE LA
70809-3670
US

IV. Provider business mailing address

PO BOX 4869 DEPT: 235
HOUSTON TX
77210-4869
US

V. Phone/Fax

Practice location:
  • Phone: 225-237-1880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP06785
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: