Provider Demographics
NPI:1225492127
Name:DAOUD, MICHELE ELAINE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ELAINE
Last Name:DAOUD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1582 SPERRY LN SE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-4850
Mailing Address - Country:US
Mailing Address - Phone:330-206-4660
Mailing Address - Fax:
Practice Address - Street 1:1582 SPERRY LN SE
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-4850
Practice Address - Country:US
Practice Address - Phone:330-206-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.18968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2491889Medicaid