Doctor Name: | MICHELE MARIE COURANZ |
NPI Number: | 1437366879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 187294 |
Business Practice Address: | 203 North Street Bayboro, NC - 28515 |
Business Phone Number: | 2527455111 |
Business Fax Number: | |
Mailing Address: | 486 Point Of View Dr, MERRITT |
State: | NC |
Postal Code: | 285569624 |
Phone Number: | 2527454385 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 11/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 187294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |