Michelle Leigh Regan
Nurse Practitioner - Pediatrics
95 E 120th St
Grant
, Michigan 49327-8623
Michelle Leigh Regan
Nurse Practitioner - Pediatrics
95 E 120th St
Grant
, Michigan 49327-8623
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Michelle Leigh Regan
- 1615 Michigan Ave
- Baldwin, MI
- Zip : 49304-7984
- Phone :
Second Address
- Michelle Leigh Regan
- 95 E 120th St
- Grant, MI
- Zip : 49327-8623
- Fax : (231) 834-1355
- Phone : (231) 834-1350
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704200949 | MI |
National Provider Identifier
| NPI | 1003841206 |
|---|---|
| Provider Name | Michelle Leigh Regan |
| First Address | Baldwin, MI 49304-7984 |
| Second Address | Grant, MI 49327-8623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 12/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4749993 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.