MEDICARE: MICHELIE LEVRIER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11000869	FL
2	363LF0000X	Family Nurse Practitioner	APRN11000869	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1669945747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELIE LEVRIER

Provider Business Mailing Address
First Line	:	2013 LIVE OAK BLVD STE C
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8410
Country	:	US
Telephone Number	:	407-593-2388
Fax Number	:	407-593-2392

Provider Business Practice Location Address
First Line	:	2013 LIVE OAK BLVD
Second Line	:	STE C
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8410
Country	:	US
Telephone Number	:	407-593-2388
Fax Number	:	407-593-2392

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

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	03/10/2023

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Directions to “ MICHELIE LEVRIER ” Practice Location

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