MICHELLE M BANDURKA (NPI# 1619093366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619093366 |
| Entity Type | Individual |
| Full Name | MICHELLE M BANDURKA |
| Credential | CNP |
| Practice Address |
941 W Morse Blvd Ste 100 Winter Park FL 32789-3781 |
| Mailing Address |
116 East Ave Suite 3 Tallmadge OH 44278-2300 |
| Practice Telephone | 3212079029 |
| Mailing Telephone | (330) 633-7782 |
| Mailing Fax Number | 3306334701 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11114-COA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3012797 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 East Ave, Suite 3, Tallmadge, OH 442782300 | 3306337782 | 3306334701 |
| Street Address |
941 W MORSE BLVD STE 100 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-3781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518997295 | Michelle Cobb Dolske | Clinical Neuropsychologist | 941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781 | 2006-07-05 |
| 1043856792 | First Behavioral LLC | Developmental Therapist | 941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781 | 2019-11-18 |
| 1295399566 | Inspired Counseling Center | Social Worker | 941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781 | 2019-04-23 |
| 1184000168 | Shabnam Abdolahi Fard | Nurse Practitioner | 941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781 | 2015-08-03 |
| 1053566059 | Surendar Swamy Veera | Internal Medicine | 941 W Morse Blvd Ste 100, Winter Park, FL 32789 | 2008-11-19 |
| 1457426116 | Marla Renee Richardson-price | Family Medicine | 941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061364 | Jamie Cochran | Nurse Practitioner | 2208 Via Luna, Winter Park, FL 32789-1369 | 2020-10-22 |
| 1689280521 | Nurse Practitioner Health Solutions LLC | Nurse Practitioner | 1890 State Road 436 Ste 251, Winter Park, FL 32792-2285 | 2020-09-16 |
| 1336750793 | Dania Claude Manigat | Nurse Practitioner | 5225 April Ter, Winter Park, FL 32792-9318 | 2020-08-10 |
| 1083245906 | Shelley Jennings | Nurse Practitioner | 1178 Village Forest Pl, Winter Park, FL 32792-8108 | 2020-01-29 |
| 1306494729 | Stephanie Marie Cooper | Nurse Practitioner | 2087 Sussex Rd, Winter Park, FL 32792-1835 | 2019-08-28 |
| 1619532470 | Jamie Carmona | Nurse Practitioner | 2685 Bongart Rd, Winter Park, FL 32792-2611 | 2019-05-07 |
| 1699249706 | Helen V. Abreu | Nurse Practitioner | 2784 Goldenrod Dr, Winter Park, FL 32792-9331 | 2019-01-11 |
| 1548782832 | Caroline Huff | Nurse Practitioner | 1155 Orange Ave Ste 2, Winter Park, FL 32789-4904 | 2017-07-09 |
| 1700315843 | Brittnie Michelle Faine | Nurse Practitioner | 1930 Via Venetia, Winter Park, FL 32789-1562 | 2017-06-11 |
| 1184174559 | Maria Lourdes P. Madarang | Nurse Practitioner | 3930 Cool Water Ct, Winter Park, FL 32792-8936 | 2016-10-10 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
Please comment or provide details below to improve the information on MICHELLE M BANDURKA.
| 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.