Micheals, Leann Marie
Micheals, Leann Marie is an individual health care provider with primary practice located at 1434 Porter Street Richard Barquist Army Health Clinic, Ft. Detrick MD 20172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Micheals, Leann Marie can be contacted via phone (301) 619-7175.Contact Information
Primary practice address
1434 Porter Street Richard Barquist Army Health Clinic
Ft. Detrick MD 20172
Phone: (301) 619-7175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0017000755 | Virginia |
Profile Details
| NPI number | 1942363668 |
|---|---|
| LBN Legal business name | Micheals, Leann Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Aug 4th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942363668 | NPPES |
| Virginia | Other | 0001142909 | RN LICENSURE |
| Virginia | Other | 0017000755 | RN LICENSURE |
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