Individual provider · Type 1 NPI
Michelle Lea Antanovich, CRNP PMHNP
Psychiatric/Mental Health Nurse Practitioner · Punta Gorda, FL
NPI number
1487756458
Active
Practice location
1485 Wassail Ln
Punta Gorda, FL 33983-6028
Other practice locations
- 104 W 40th St Rm 500, New York, NY 10018-3770 · (212) 369-6757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP022065 (PA) |
| Nurse Practitioner | 363L00000X | SP006096B (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1487756458
Michelle Lea Antanovich, CRNP PMHNP's National Provider Identifier is 1487756458, issued on Sep 1, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Punta Gorda, FL. The record was last updated on Mar 11, 2024.