Provider Demographics
NPI:1548311657
Name:KUZNITZ, MICHELE Q (CRNFA)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:Q
Last Name:KUZNITZ
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21018 COUNTRY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1140
Mailing Address - Country:US
Mailing Address - Phone:561-482-7037
Mailing Address - Fax:
Practice Address - Street 1:21018 COUNTRY CREEK DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1140
Practice Address - Country:US
Practice Address - Phone:561-482-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2865592163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant