Provider Demographics
NPI:1528583788
Name:MICHEL, LEAH ADDITON (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:ADDITON
Last Name:MICHEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4381 POINSETTIA DR
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-2561
Mailing Address - Country:US
Mailing Address - Phone:813-965-2667
Mailing Address - Fax:
Practice Address - Street 1:2919 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-3737
Practice Address - Country:US
Practice Address - Phone:941-755-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9328626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily