Provider Demographics
NPI:1437366879
Name:COURANZ, MICHELE MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:COURANZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:MARIE
Other - Last Name:BENOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:486 POINT OF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MERRITT
Mailing Address - State:NC
Mailing Address - Zip Code:28556-9624
Mailing Address - Country:US
Mailing Address - Phone:252-745-4385
Mailing Address - Fax:
Practice Address - Street 1:203 NORTH STREET
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515
Practice Address - Country:US
Practice Address - Phone:252-745-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC187294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily