Individual provider · Type 1 NPI
Michelle Leigh Regan, PPCNP-BC
Pediatric Nurse Practitioner · Grant, MI
NPI number
1003841206
Active
Practice location
95 E 120th St
Grant, MI 49327-8623
Fax (231) 834-1355
Mailing address
1615 Michigan Ave
Baldwin, MI 49304-7984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704200949 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Grant
About NPI 1003841206
Michelle Leigh Regan, PPCNP-BC's National Provider Identifier is 1003841206, issued on Jul 12, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grant, MI. The record was last updated on Aug 12, 2015.