Provider Demographics
NPI:1275775496
Name:HAIMOWITZ, MICHELLE F (RN, CNP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:F
Last Name:HAIMOWITZ
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:CHOP NEUROSURGERY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5127
Mailing Address - Country:US
Mailing Address - Phone:215-590-2780
Mailing Address - Fax:215-590-4809
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:WOOD CENTER, 6TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5127
Practice Address - Country:US
Practice Address - Phone:215-590-2780
Practice Address - Fax:215-590-4809
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.348289363LA2100X
PASP014600363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care