Provider Demographics
NPI:1639434251
Name:TURSHON-SCHRAMM, MICHELLE TAMMERI (CNM, APRN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:TAMMERI
Last Name:TURSHON-SCHRAMM
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 SW HALEYBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6750
Mailing Address - Country:US
Mailing Address - Phone:772-323-4517
Mailing Address - Fax:
Practice Address - Street 1:1050 37TH PL STE 101-103
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6501
Practice Address - Country:US
Practice Address - Phone:772-770-6116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9342616367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006748200Medicaid