Individual provider · Type 1 NPI

Michelle Lauren Gaddis, NP

Nurse Practitioner · Miller Place, NY

NPI number 1639890858 Active

Practice location

315 Parkside Ave
Miller Place, NY 11764-3500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF309822-01 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639890858

Michelle Lauren Gaddis, NP's National Provider Identifier is 1639890858, issued on Sep 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Miller Place, NY. The record was last updated on Sep 6, 2022.