Provider Demographics
NPI:1760045611
Name:MICHAEL, NANCY (MED)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7369 GRIFFEY ST
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-8756
Mailing Address - Country:US
Mailing Address - Phone:816-721-9401
Mailing Address - Fax:
Practice Address - Street 1:13015 10TH ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-2401
Practice Address - Country:US
Practice Address - Phone:816-316-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant