Provider Demographics
NPI:1568142529
Name:APURILLO, MICHELLEROSE G (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLEROSE
Middle Name:G
Last Name:APURILLO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 COPPER PENNY DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1836
Mailing Address - Country:US
Mailing Address - Phone:708-205-8877
Mailing Address - Fax:
Practice Address - Street 1:1607 COPPER PENNY DR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-1836
Practice Address - Country:US
Practice Address - Phone:708-205-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily