Healthcare Provider Details
I. General information
NPI: 1023096898
Provider Name (Legal Business Name): MICHELLE SCHNAPER OKUN MS, APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5333 MCAULEY DR SUITE 4106
YPSILANTI MI
48197-1014
US
IV. Provider business mailing address
2325 GEORGETOWN BLVD
ANN ARBOR MI
48105-2942
US
V. Phone/Fax
- Phone: 734-712-5637
- Fax: 734-712-5697
- Phone: 734-668-6927
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 4704111413 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: