| Doctor Name: | MR. MICHAEL JOSEPH PAPANIA |
| NPI Number: | 1114057809 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN |
| License Number: | R5588822 |
| Business Practice Address: | 257 Davis Ave Ste A Pass Christian, MS - 395714541 |
| Business Phone Number: | 2288644818 |
| Business Fax Number: | |
| Mailing Address: | 3000 Papania Ln, GULFPORT |
| State: | MS |
| Postal Code: | 395015849 |
| Phone Number: | 2288646759 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 08/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R5588822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |