| Doctor Name: | MARY PATRICIA MICHEL |
| NPI Number: | 1023092244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 255182 |
| Business Practice Address: | Naval Hospital Camp Pendleton Building H-100 Camp Pendleton, CA - 920555191 |
| Business Phone Number: | 7607251578 |
| Business Fax Number: | 7607581888 |
| Mailing Address: | Naval Hospital Camp Pendleton, Building H-100 CAMP PENDLETON |
| State: | CA |
| Postal Code: | 920555191 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 255182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |