Healthcare Provider Details

I. General information

NPI: 1558528794
Provider Name (Legal Business Name): NATASHA MATHENY MICHAELS PHARMD, CPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 FAIRVIEW RD STE 100
ASHEVILLE NC
28803-1011
US

IV. Provider business mailing address

805 FAIRVIEW RD
ASHEVILLE NC
28803-1011
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-3636
  • Fax: 828-298-8190
Mailing address:
  • Phone: 828-298-3636
  • Fax: 828-298-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18893
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: