Individual provider · Type 1 NPI
Lisa Marie Michalski
Family Nurse Practitioner · Mishawaka, IN
NPI number
1619702040
Active
Practice location
611 E Douglas Rd
Mishawaka, IN 46545-1464
Mailing address
925 Potter Point Dr
South Bend, IN 46614-3469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2023058906 (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1619702040
Lisa Marie Michalski's National Provider Identifier is 1619702040, issued on Sep 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Sep 5, 2024.