MICHELLE LETRESE DADE NPI 1811460967

NPI Information

NPI: 1811460967
Provider Name: MICHELLE LETRESE DADE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1365 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 580-4044
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Michelle Letrese Dade is a psychiatric/mental health nurse practitioner in Atlanta, GA with 4 years of experience. Michelle Letrese Dade NPI is 1811460967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1365 CLIFTON RD NE
ATLANTA, GA
ZIP 30322-013
Phone: (404) 580-4044

The NPI 1811460967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 4/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN204431	GEORGIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN204431	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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