MICHELLE STEPHANIE PETMI


Address: 33584 Green Prairie Dr, Brookshire, TX 77423-2668
Phone: 6466423979

MICHELLE STEPHANIE PETMI (NPI# 1336774801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336774801
Entity Type Individual
Full Name MICHELLE STEPHANIE PETMI
Credential PMHNP-BC
Practice Address 33584 Green Prairie Dr
Brookshire
TX 77423-2668
Practice Telephone 6466423979
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2019075997 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 33584 GREEN PRAIRIE DR
City BROOKSHIRE
State TX
Zip Code 77423-2668

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKSHIRE
Zip Code 77423

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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