Michael Jon Peel, ARNP

Individual provider Active NPI Family Nurse Practitioner · Chattahoochee, FL

NPI 1003837899 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003837899
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
ARNP1713612 (FL)
Practice address
100 N Main St
Florida State Hospital
Chattahoochee, FL 32324-1000
Phone
(850) 663-7832
Fax
(850) 663-7240
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1713612FLMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP1713612 FL Yes

Addresses

Primary practice location

100 N Main St
Florida State Hospital
Chattahoochee, FL 32324-1000

Mailing address

827 Braswell Rd
Grand Ridge, FL 32442
Phone (850) 592-5467

Other providers in Chattahoochee, FL

All providers in Chattahoochee, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.