MEDICARE: MR. MICHAEL AARON SHEETS FNP

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	93-006519	OR

General Provider Information

NPI Number	:	1548262876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL AARON SHEETS FNP

Provider Business Mailing Address
First Line	:	PO BOX 1030
Second Line	:
City	:	MERRILL
State	:	OR
Zip	:	97633-1030
Country	:	US
Telephone Number	:	541-798-5074
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 N LINCOLN ST
Second Line	:
City	:	MERRILL
State	:	OR
Zip	:	97633
Country	:	US
Telephone Number	:	541-798-5074
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/28/2010

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