Provider Demographics
NPI:1538771795
Name:MUHAMMAD, MICHELLE RENEE (APRN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:RENEE
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:442 TARTAN CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-1694
Mailing Address - Country:US
Mailing Address - Phone:910-257-7618
Mailing Address - Fax:
Practice Address - Street 1:4901 DAWN DR STE 3300
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-8288
Practice Address - Country:US
Practice Address - Phone:910-671-9298
Practice Address - Fax:910-671-4850
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2024-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5014091363LF0000X
NCMUHA-WX014207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine