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NPI Code Detail

MEDICARE: EMILIE-ANNE MICHAUD NPP

MEDICARE: EMILIE-ANNE MICHAUD NPP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF400471-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F400471OTHERNYLICENSE NO

General Provider Information

NPI Number : 1740294206
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE-ANNE MICHAUD NPP
Provider Business Mailing Address
First Line : 1600 7TH AVE, 3RD FLOOR
Second Line : RENSSELAER COUNTY MENTAL HEALTH
City : TROY
State : NY
Zip : 12180-3410
Country : US
Telephone Number : 518-270-2800
Fax Number : 518-270-2723
Provider Business Practice Location Address
First Line : 1600 7TH AVE
Second Line : RENSSELAER COUNTY MENTAL HEALTH CENTER
City : TROY
State : NY
Zip : 12180-3410
Country : US
Telephone Number : 518-270-2800
Fax Number : 518-270-2723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 03/07/2023

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Directions to “ EMILIE-ANNE MICHAUD NPP” Practice Location

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