Provider Demographics
NPI:1306621545
Name:ALBERINO, MICHELLE JULIA (CNA)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JULIA
Last Name:ALBERINO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3278 56TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-1843
Mailing Address - Country:US
Mailing Address - Phone:727-564-0181
Mailing Address - Fax:
Practice Address - Street 1:3278 56TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-1843
Practice Address - Country:US
Practice Address - Phone:727-564-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL160715172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker