Engdayehu, Michelle

Engdayehu, Michelle is an individual health care provider with primary practice located at 707 Hollybrook Dr , Longview TX 75605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Engdayehu, Michelle can be contacted via phone (903) 291-6149.

Contact Information

Primary practice address
707 Hollybrook Dr Longview TX 75605
Phone: (903) 291-6149
Fax: (903) 291-6160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP129817 Texas

Profile Details

NPI number 1205292935
LBN Legal business name Engdayehu, Michelle
Credentials RN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2016
Last updated Nov 13th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205292935 NPPES
Texas MEDICAID 355029503

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