Provider Demographics
NPI:1982694204
Name:EARNEST, MICHELLE S (NP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:S
Last Name:EARNEST
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Gender:F
Credentials:NP
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Mailing Address - Street 1:2216 PRINCESS ANNE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3300
Mailing Address - Country:US
Mailing Address - Phone:540-899-3440
Mailing Address - Fax:540-899-3434
Practice Address - Street 1:2216 PRINCESS ANNE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3300
Practice Address - Country:US
Practice Address - Phone:540-899-3440
Practice Address - Fax:540-899-3434
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0024076917363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner