MEDICARE: MICHELLE DAN EL CARR M.S.N., C.N.S., BC

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	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	CNS 9206178	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	:	1740511815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE DAN EL CARR M.S.N., C.N.S., BC

Provider Business Mailing Address
First Line	:	6 SAYBROOK PT
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-8174
Country	:	US
Telephone Number	:	407-435-1965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 EDGEWATER DR STE 300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:	407-435-1965
Fax Number	:

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

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	07/30/2024

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