Provider Demographics
NPI:1447140041
Name:MICHELSON, ANNA (DNP, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MICHELSON
Suffix:
Gender:F
Credentials:DNP, APRN, AGNP-C
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:MICHELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, APRN, AGNP-C
Mailing Address - Street 1:996 CHESTNUT ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEWTON UPPER FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1136
Mailing Address - Country:US
Mailing Address - Phone:610-710-1905
Mailing Address - Fax:
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN10014290363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology