Provider Demographics
NPI:1538698972
Name:NEUMAN, MICHELLE MARIE (MSN, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:1353 FOWLER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-1143
Mailing Address - Country:US
Mailing Address - Phone:614-203-9478
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DRIVE
Practice Address - Street 2:HSCN ROOM 4076
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:304-293-2551
Practice Address - Fax:304-293-7373
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVAPRN98189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily