Provider Demographics
NPI:1366320038
Name:MICHEL, MINOLA (LPN)
Entity type:Individual
Prefix:
First Name:MINOLA
Middle Name:
Last Name:MICHEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 34TH ST N # 1184
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-3635
Mailing Address - Country:US
Mailing Address - Phone:954-740-2897
Mailing Address - Fax:
Practice Address - Street 1:1001 DILLINGHAM BLVD STE 317
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4551
Practice Address - Country:US
Practice Address - Phone:808-207-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILPN-21345164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse