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General NPI Number Information
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NPI Number | 1912673336
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Entity Type | Individual
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Provider Name | MICHELLE VERNER APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 1335 N MILL ST
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City | NAPERVILLE
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State | IL
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Zip | 60563-2261
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Country | US
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Telephone | 630-305-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 217 NICOLE DR UNIT E
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-3617
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Country | US
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Telephone | 630-253-0567
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209.023952
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License Number State | IL
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