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NPI Code Detail

MEDICARE: MICHELLE PRATT PRATT

MEDICARE: MICHELLE PRATT PRATT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1235747296
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PRATT PRATT
Provider Business Mailing Address
First Line : 4329 HUGHES BRANCH RD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-9768
Country : US
Telephone Number : 304-733-5260
Fax Number :
Provider Business Practice Location Address
First Line : 4329 HUGHES BRANCH RD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-9768
Country : US
Telephone Number : 304-733-5260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 07/16/2020

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Directions to “ MICHELLE PRATT PRATT ” Practice Location

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