Individual provider · Type 1 NPI
Michelle Ly
Pediatric Nurse Practitioner · Mountain View, CA
NPI number
1285075804
Active
Practice location
701 E El Camino Real
Mountain View, CA 94040-2833
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Other practice locations
- 205 N Belle Mead Rd Ste 250, East Setauket, NY 11733-3483 · (631) 444-4630
- 100 Montego Dr., Hercules, CA 94547 · (510) 685-0666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 648293 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | NP95000678 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1285075804
Michelle Ly's National Provider Identifier is 1285075804, issued on Jul 11, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mountain View, CA. The record was last updated on Mar 6, 2024.