MEDICARE: MRS. MICHELLE QUIGGLE ENGLE NP

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
1	363LF0000X	Family Nurse Practitioner	218946	LA

General Provider Information

NPI Number	:	1346811676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE QUIGGLE ENGLE NP

Provider Business Mailing Address
First Line	:	9400 LIBERTY CT
Second Line	:
City	:	RIVER RIDGE
State	:	LA
Zip	:	70123-2542
Country	:	US
Telephone Number	:	504-460-4539
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 LIBERTY CT
Second Line	:
City	:	RIVER RIDGE
State	:	LA
Zip	:	70123-2542
Country	:	US
Telephone Number	:	504-460-4539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2021
Last Update Date	:	07/07/2021

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