Provider Demographics
NPI:1639796246
Name:CURRY, MICHAELA J (FNP-C)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:J
Last Name:CURRY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 318
Mailing Address - Street 2:
Mailing Address - City:DUCHESNE
Mailing Address - State:UT
Mailing Address - Zip Code:84021
Mailing Address - Country:US
Mailing Address - Phone:435-738-2040
Mailing Address - Fax:435-738-2046
Practice Address - Street 1:382 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DUCHESNE
Practice Address - State:UT
Practice Address - Zip Code:84021
Practice Address - Country:US
Practice Address - Phone:435-738-2040
Practice Address - Fax:435-738-2046
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8629921-8900363L00000X
UT8629921-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner