Provider Demographics
NPI:1447715081
Name:MESSERLY, MICHELE L (CNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:L
Last Name:MESSERLY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1186
Mailing Address - Country:US
Mailing Address - Phone:740-687-8600
Mailing Address - Fax:
Practice Address - Street 1:1781 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1186
Practice Address - Country:US
Practice Address - Phone:740-687-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily