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NPI Code Detail

MEDICARE: JEANMARIE MICHALAK MSN, CRNP

MEDICARE:   JEANMARIE  MICHALAK  MSN, CRNP
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
1363LF0000XFamily Nurse PractitionerSP008052PA

General Provider Information

NPI Number : 1881889848
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANMARIE MICHALAK MSN, CRNP
Provider Business Mailing Address
First Line : 176 S NEW MIDDLETOWN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-5255
Country : US
Telephone Number : 610-627-3690
Fax Number : 610-627-3684
Provider Business Practice Location Address
First Line : 176 S NEW MIDDLETOWN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-5255
Country : US
Telephone Number : 610-627-3690
Fax Number : 610-627-3684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 02/04/2019

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Directions to “ JEANMARIE MICHALAK MSN, CRNP” Practice Location

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