Organization · Type 2 NPI

Michelle R Demenkow, PA

Psychiatric/Mental Health Nurse Practitioner · Sunrise, FL

NPI number 1962435271 Active

Practice location

14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323

Fax (954) 366-5056

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPY6763 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XARNP9211884 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1962435271

Michelle R Demenkow, PA's National Provider Identifier is 1962435271, issued on Jul 9, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sunrise, FL. The record was last updated on May 20, 2020.