Provider Demographics
NPI:1356450522
Name:PITCHER, MICHELLE LEE (APRN, FNP-BC, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LEE
Last Name:PITCHER
Suffix:
Gender:F
Credentials:APRN, FNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 ROLAND ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-6521
Mailing Address - Country:US
Mailing Address - Phone:812-881-8981
Mailing Address - Fax:812-886-5307
Practice Address - Street 1:525 N 4TH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1444
Practice Address - Country:US
Practice Address - Phone:812-882-7927
Practice Address - Fax:812-886-5307
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28210304A163W00000X
IN300004288A227900000X
IN71008881A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN28210304AOtherSTATE OF INDIANA
IN71008881AOtherSTATE OF INDIANA
IN30004288AOtherSTATE OF INDIANA