| The Premier Np | |
|
2895 Sw Cedar Dunes Dr Port Saint Lucie FL 34953-4571 | |
| (772) 801-3497 | |
| Not Available |
| Full Name | The Premier Np |
|---|---|
| Speciality | Family Medicine |
| Location | 2895 Sw Cedar Dunes Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Vicki Michel (EMPLOYEE/OWNER) |
| Authorized Official Contact | 7728013497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Premier Np 2895 Sw Cedar Dunes Dr Port Saint Lucie FL 34953-4571 Ph: (772) 801-3497 | The Premier Np 2895 Sw Cedar Dunes Dr Port Saint Lucie FL 34953-4571 Ph: (772) 801-3497 |
| NPI Number | 1568228435 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5799125787 |
|---|---|
| Medicare Enrollment ID | O20240424001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568228435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vicki N Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972172534 PECOS PAC ID: 6608216692 Enrollment ID: I20240709002163 |
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