Provider Demographics
NPI:1316428238
Name:MICHALEC, MAISEY NICOLE (MSN,APRN, CNM, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MAISEY
Middle Name:NICOLE
Last Name:MICHALEC
Suffix:
Gender:F
Credentials:MSN,APRN, CNM, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:214-495-9911
Mailing Address - Fax:214-495-9118
Practice Address - Street 1:406 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:214-495-9911
Practice Address - Fax:214-495-9118
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138251367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife