Provider Demographics
NPI:1578546149
Name:MICHEL, JANELLE A (NP)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:A
Last Name:MICHEL
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10535 HOSPITAL WAY
Mailing Address - Street 2:CARDIOLOGY DEPARTMENT/111
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655-4200
Mailing Address - Country:US
Mailing Address - Phone:916-843-9363
Mailing Address - Fax:916-366-5475
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:CARDIOLOGY DEPARTMENT/111
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4200
Practice Address - Country:US
Practice Address - Phone:916-843-9363
Practice Address - Fax:916-366-5475
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CARN 476710/ NP 11287363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care