Healthcare Provider Details
I. General information
NPI: 1841011038
Provider Name (Legal Business Name): MICHELLE LEA CURRY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/21/2024
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
807 TURNPIKE AVE STE 260
CLEARFIELD PA
16830-1239
US
IV. Provider business mailing address
100 HOSPITAL AVE
DU BOIS PA
15801-1440
US
V. Phone/Fax
- Phone: 814-765-4151
- Fax:
- Phone: 814-375-6549
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP030986 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: