Mrs. Sally Mcintyre Michaud
Nurse Practitioner - Neonatal
1500 South Main Street
Fort Worth
, Texas 76104
Mrs. Sally Mcintyre Michaud
Nurse Practitioner - Neonatal
1500 South Main Street
Fort Worth
, Texas 76104
(817) 702-2450
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Sally Mcintyre Michaud
- Po Box 732973
- Dallas, TX
- Zip : 75373-2973
- Phone : (817) 702-2450
Second Address
- Mrs. Sally Mcintyre Michaud
- 1500 South Main Street
- Fort Worth, TX
- Zip : 76104
- Fax : (817) 702-1405
- Phone : (817) 702-1166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 776106 | TX |
National Provider Identifier
| NPI | 1043712961 |
|---|---|
| Provider Name | Mrs. Sally Mcintyre Michaud |
| First Address | Dallas, TX 75373-2973 |
| Second Address | Fort Worth, TX 76104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2018 |
| Last Update Date | 04/06/2019 |
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.