Provider Demographics
NPI:1780019034
Name:THUNE, MICHELE (APRN)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:THUNE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5458 SE MAJOR WAY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-2420
Mailing Address - Country:US
Mailing Address - Phone:561-328-3610
Mailing Address - Fax:844-861-3079
Practice Address - Street 1:5458 SE MAJOR WAY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-2420
Practice Address - Country:US
Practice Address - Phone:561-328-3610
Practice Address - Fax:844-861-3079
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3388432363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner