DR. CLARISSA MICHALAK (NPI# 1346618394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346618394 |
| Entity Type | Individual |
| Full Name | DR. CLARISSA MICHALAK |
| Credential | ACNP-AG |
| Practice Address |
31 Shady Run Ln Cumberland ME 04021-3818 |
| Practice Telephone | 2074093623 |
| Mailing Telephone | 2074093623 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
430958 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP201245 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
31 SHADY RUN LN |
| City | CUMBERLAND |
| State | ME |
| Zip Code | 04021-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255780391 | Cassandra Marie Paine | Occupational Therapist | 85 Middle Rd., Cumberland, ME 04021 | 2016-06-09 |
| 1235565623 | Elizabeth Anne Mccarthy | Social Worker | 48 Crossing Brook Rd, Cumberland, ME 04021 | 2013-09-18 |
| 1306151261 | Denise Sullivan | Occupational Therapist | 357 Tuttle Road, Cumberland, ME 04021 | 2010-08-16 |
| 1245567544 | Donna Thiele | Specialist/Technologist | 74 Rock Ridge Run, Kimberly A. Egberts & Assoc, Cumberland Center, ME 04021 | 2009-11-06 |
| 1588791222 | Giovanna Hurley | Psychologist | 13 Shady Lane Run, Cumberland, ME 04021 | 2007-02-28 |
| 1174072490 | Chelsey Leigh Pellerin | Occupational Therapist | 85 Middle Rd, Cumberland, ME 04021 | 2016-09-28 |
| 1306173604 | Kathryn Dostie | Specialist/Technologist | 74 Rock Ridge Run, Kimberly A. Egberts & Assoc., Cumberland Center, ME 04021 | 2009-11-06 |
| 1124116892 | Michael Alan Frost | Dentist | 323 Main Street, Cumberland, ME 04021-0207 | 2006-10-10 |
| 1922302371 | Heather Jean Northrop | Social Worker | 4 George Rd, Cumberland, ME 04021-3020 | 2010-12-28 |
| 1265653562 | Brown Home Care | Home Health | 7 Forest Ln, Cumberland, ME 04021-3046 | 2007-05-02 |
| Find all providers in zip 04021 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281311 | Anne Kenyon Smith | Nurse Practitioner | 22 Station Ave # 101, Brunswick, ME 04011-2092 | 2019-08-22 |
| 1336696590 | Nathaniel Anderson | Nurse Practitioner | 266 E Elm St, Yarmouth, ME 04096-7116 | 2016-09-06 |
| 1083008098 | Maine Life Care Retirement Community | Nurse Practitioner | 15 Piper Road, Scarborough, ME 04074-7541 | 2015-03-27 |
| 1144327024 | Elizabeth Mary Barthmaier | Nurse Practitioner | Amedisys Palliative Care, 54 Atlantic Place, South Portland, ME 04106 | 2006-09-20 |
| 1093366239 | Danielle Rice | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2019-09-27 |
| 1619463072 | Kristie Jean Murphy | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2018-07-09 |
| 1053780312 | Elise Scala | Nurse Practitioner | 56 Baribeau Dr, Brunswick, ME 04011-3251 | 2015-09-16 |
| 1164765640 | Tanya L Sleeper | Nurse Practitioner | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2013-04-03 |
| 1033157227 | Nan M Boucher | Nurse Practitioner | 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | 2006-06-02 |
| 1427034396 | Mary Desalle | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 04021 |
Please comment or provide details below to improve the information on DR. CLARISSA MICHALAK.
| 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.