Healthcare Provider Details

I. General information

NPI: 1699951152
Provider Name (Legal Business Name): MICHELLE LOUISE POST PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE LOUISE VOGAN PA

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 08/02/2021
Certification Date: 08/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 RAY C. HUNT DRIVE, STE 310
CHARLOTTESVILLE VA
22903-7851
US

IV. Provider business mailing address

PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US

V. Phone/Fax

Practice location:
  • Phone: 434-243-5688
  • Fax: 434-243-0242
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60102427
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number4271
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number0110005402
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: