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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MICHELLE L CEO, C.P.N.P.

Active Sole Proprietor

MS. MICHELLE L CEO, C.P.N.P. is a Pediatric Nurse Practitioner healthcare provider located in STONY BROOK, New York. NPI 1578709119 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · STONY BROOK, NY

Registration Details

NPI Number
1578709119
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2009 (17.575805246934 yrs)
Last Updated
Dec 12, 2013
Licenses
F381993 (NY)
381993 (NY)
Sole Proprietor
Yes

Practice Information

Address
HSC T19-068 NICHOLS RD.
STONY BROOK, NY, 11794
Browse NY providers · Browse ZIP 11794
Phone
6314442045
Fax
6314448862
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in STONY BROOK, NY

Name Credential NPI
ANN COURTNEY CPNP 1235128638
MS. KATHLEEN C USMANI CPNP 1427096742
MS. LISA ROMARD PNP. 1174566079
MS. THERESA MARIE VLAHOS N.P. 1184845661
MS. KAMMY MCLOUGHLIN NP 1114119161
MRS. TARA FLOCCO RN, NP 1043485998
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.