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NPI Code Detail

MEDICARE: MICHELLE ANDREA VON DER HEYDE APRN

MEDICARE:   MICHELLE ANDREA VON DER HEYDE  APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11009875FL
2261QX0200XOncology Clinic/CenterAPRN11009875FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11009875FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386242402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ANDREA VON DER HEYDE APRN
Provider Business Mailing Address
First Line : 14649 SW 42ND ST STE 500
Second Line :
City : MIAMI
State : FL
Zip : 33175-7825
Country : US
Telephone Number : 305-290-2175
Fax Number : 305-290-2176
Provider Business Practice Location Address
First Line : 3191 CORAL WAY STE 607
Second Line :
City : MIAMI
State : FL
Zip : 33145-3230
Country : US
Telephone Number : 305-290-2175
Fax Number : 305-291-2176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2020
Last Update Date : 09/30/2025

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Directions to “ MICHELLE ANDREA VON DER HEYDE APRN” Practice Location

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