Individual provider · Type 1 NPI

Michelle Crisostomo Cantrell, RN

Nurse Practitioner · Lynn Haven, FL

NPI number 1659252518 Active

Practice location

1621 Tennessee Ave Ste 300
Lynn Haven, FL 32444-3604

Mailing address

1104 Discovery Loop N
Panama City, FL 32405-2955

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11042311 (FL)
Registered Nurse 163W00000XRN9654754 (FL)

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 1659252518

Michelle Crisostomo Cantrell, RN's National Provider Identifier is 1659252518, issued on Sep 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lynn Haven, FL. The record was last updated on Sep 22, 2025.