Provider Demographics
NPI:1780884429
Name:VORICE, MICHELLE L (FNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:VORICE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-2554
Mailing Address - Country:US
Mailing Address - Phone:219-256-3133
Mailing Address - Fax:
Practice Address - Street 1:650 GRANT ST
Practice Address - Street 2:SUITE 5
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46404-1533
Practice Address - Country:US
Practice Address - Phone:219-882-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28130325A163W00000X
IN71005531A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse