Provider Demographics
NPI:1922824143
Name:MICHEL, SHEILA LANCY (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:LANCY
Last Name:MICHEL
Suffix:
Gender:F
Credentials: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 1:18680 SW 376TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-6304
Mailing Address - Country:US
Mailing Address - Phone:305-910-3016
Mailing Address - Fax:
Practice Address - Street 1:18680 SW 376TH ST
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-6304
Practice Address - Country:US
Practice Address - Phone:305-910-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily