MEDICARE: MRS. VALERIE M MICHAUD 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	363LA2200X	Adult Health Nurse Practitioner	F302451-1	NY
2	363LF0000X	Family Nurse Practitioner	F335468-1	NY

General Provider Information

NPI Number	:	1457598005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALERIE M MICHAUD NP

Provider Business Mailing Address
First Line	:	255 EASTERN PKWY
Second Line	:	APT. A2
City	:	BROOKLYN
State	:	NY
Zip	:	11238-6370
Country	:	US
Telephone Number	:	718-832-7950
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 - 55TH STREET
Second Line	:	SCHOOL HEALTH
City	:	BROOKLYN
State	:	NY
Zip	:	11220
Country	:	US
Telephone Number	:	718-210-5264
Fax Number	:	718-492-5090

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

Provider Enumeration Date	:	01/17/2009
Last Update Date	:	03/25/2013

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