Most Relevant Information
Provider Data
| NPI Number: | 1003636267 |
| Provider Name: | CARLY ELIZABETH MICHAELS CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | SP031114 |
Most Important Dates
| Enumeration Date: | 10/14/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
1530 LOCUST ST APT 7D
PHILADELPHIA
PA
191024422
Practice Location Phone/Fax
| Phone: | 2678859137 |
| Fax: |
Provider Mailing Location
1530 LOCUST ST APT 7D
PHILADELPHIA
PA
191024422
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |