Provider Demographics
NPI:1548504129
Name:MICHEL, MADELINE (APRN)
Entity type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:
Last Name:MICHEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21820 CYPRESS CIR
Mailing Address - Street 2:APT 25B
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3215
Mailing Address - Country:US
Mailing Address - Phone:561-929-5520
Mailing Address - Fax:
Practice Address - Street 1:980 N FEDERAL HWY STE 110980N
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-2708
Practice Address - Country:US
Practice Address - Phone:561-929-5520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL9255411363LP0808X, 363LF0000X
FLARNP9255411363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology