MICHELLE LEA ANTANOVICH CRNP PMHNP NPI 1487756458

NPI Information

NPI: 1487756458
Provider Name: MICHELLE LEA ANTANOVICH, CRNP PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1485 WASSAIL LN
PUNTA GORDA, FL
ZIP 33983
Phone: (941) 286-5033
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Michelle Lea Antanovich, CRNP PMHNP is a psychiatric/mental health nurse practitioner in Punta Gorda, FL with 9 years of experience. Michelle Lea Antanovich, CRNP PMHNP NPI is 1487756458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1485 WASSAIL LN
PUNTA GORDA, FL
ZIP 33983-028
Phone: (941) 286-5033

The NPI 1487756458 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 9/1/2006 and was last updated on 3/11/2024.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP022065	PENNSYLVANIA	Yes
2	363L00000X	Nurse Practitioner		SP006096B	PENNSYLVANIA	No

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: 5/5/2024

NPI Synchronization or Removal

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