Provider Demographics
NPI:1215576947
Name:PHILIPPE MICHEL, ISLANDE (APRN)
Entity Type:Individual
Prefix:
First Name:ISLANDE
Middle Name:
Last Name:PHILIPPE 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 1:876 QUARTZ TER
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1200
Mailing Address - Country:US
Mailing Address - Phone:561-676-6975
Mailing Address - Fax:
Practice Address - Street 1:876 QUARTZ TER
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1200
Practice Address - Country:US
Practice Address - Phone:561-676-6975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-28
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005509363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner