Provider Demographics
NPI:1336651504
Name:ANGUS, MICHELLE LAFRANCE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LAFRANCE
Last Name:ANGUS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 RICHMOND HWY
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:VA
Mailing Address - Zip Code:24553-3165
Mailing Address - Country:US
Mailing Address - Phone:434-942-2648
Mailing Address - Fax:
Practice Address - Street 1:1937 THOMSON DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1008
Practice Address - Country:US
Practice Address - Phone:424-200-3908
Practice Address - Fax:434-200-1677
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175453363LF0000X, 363LP0808X
VA0017144472363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily