Individual provider · Type 1 NPI
Mary Kathryn Michaelis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Eastville, VA
NPI number
1962267997
Active
Practice location
17068 Lankford Highway
Eastville, VA 23347
Fax (757) 414-0569
Mailing address
20280 Market St
Onancock, VA 23417-1331
Other practice locations
- 25228 Lankford Highway, Onley, VA 23418 · (757) 414-0500
- 5219 Lankford Hwy, New Church, VA 23415-3332 · (757) 414-0400
- 20306 Badger Ln, Onley, VA 23418-2001 · (757) 414-0400
- 4049 Main St, Chincoteague, VA 23336-2406 · (757) 414-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024190998 (VA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2023207144 (AL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1962267997
Mary Kathryn Michaelis, PMHNP-BC's National Provider Identifier is 1962267997, issued on Feb 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Eastville, VA. The record was last updated on Mar 16, 2026.