Provider Demographics
NPI:1063590446
Name:CRIGLER, MICHELLE SEALOCK (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:SEALOCK
Last Name:CRIGLER
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 381468
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1468
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19455 DEERFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8102
Practice Address - Country:US
Practice Address - Phone:703-723-3670
Practice Address - Fax:877-325-2018
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110002301363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical