Healthcare Provider Details

I. General information

NPI: 1760720213
Provider Name (Legal Business Name): INDIA S. MICHEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

IV. Provider business mailing address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

V. Phone/Fax

Practice location:
  • Phone: 508-232-6963
  • Fax: 508-297-8258
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37731
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2265845
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: