Pratt, Michelle Renee

Pratt, Michelle Renee is an individual health care provider with primary practice located at 708 Will Halsey Way Ste C , Madison AL 35758-2566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pratt, Michelle Renee can be contacted via phone (256) 325-1349.

Contact Information

Primary practice address
708 Will Halsey Way Ste C Madison AL 35758-2566
Phone: (256) 325-1349
Fax: (256) 325-1354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1-053076 Alabama

Profile Details

NPI number 1376968495
LBN Legal business name Pratt, Michelle Renee
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2014
Last updated Dec 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376968495 NPPES
Alabama MEDICAID 330000025

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