Balkom, Michele Colene
Balkom, Michele Colene is an individual health care provider with primary practice located at 10700 Willow Lake Dr , Pensacola FL 32506-8292. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Balkom, Michele Colene can be contacted via phone (850) 516-5096.Contact Information
Primary practice address
10700 Willow Lake Dr
Pensacola FL 32506-8292
Phone: (850) 516-5096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 9171333 | Florida |
| Nursing Service Providers / Registered Nurse | 163W00000X | 695151 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP9171333 | Florida |
Profile Details
| NPI number | 1578834289 |
|---|---|
| LBN Legal business name | Balkom, Michele Colene |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2012 |
| Last updated | Apr 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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