Provider Demographics
NPI:1770397051
Name:FERRER, MICHELLE (RN, PMHNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:RN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 34TH ST S APT 4316
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-5914
Mailing Address - Country:US
Mailing Address - Phone:813-841-1520
Mailing Address - Fax:
Practice Address - Street 1:3951 34TH ST S APT 4316
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-5914
Practice Address - Country:US
Practice Address - Phone:813-841-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11037545363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health