MICHELLE R DEMENKOW PA NPI 1962435271

NPI Information

NPI: 1962435271
Provider Name: MICHELLE R DEMENKOW, PA
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
14201 W SUNRISE BLVD STE 208
SUNRISE, FL
ZIP 33323
Phone: (954) 851-9690
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MICHELLE R DEMENKOW, PA is a psychiatric/mental health nurse practitioner in Sunrise, FL. MICHELLE R DEMENKOW, PA NPI is 1962435271. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14201 W SUNRISE BLVD STE 208
SUNRISE, FL
ZIP 33323
Phone: (954) 851-9690
Fax: (954) 366-5056

The provider's authorized official is Michelle R Demenkow .
The authorized official title is Owner and has the following contact phone number (954) 856-8703.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 5/20/2020.

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	103TC0700X	Psychologist	Clinical	PY6763	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP9211884	FLORIDA	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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