Provider Demographics
NPI:1558459651
Name:ONACKI, MICHELLE DEE (PSY-MH NP)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:DEE
Last Name:ONACKI
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Gender:F
Credentials:PSY-MH NP
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Mailing Address - Street 1:4015 S MCCLINTOCK DR
Mailing Address - Street 2:SUITE112
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5877
Mailing Address - Country:US
Mailing Address - Phone:480-775-8811
Mailing Address - Fax:480-775-8811
Practice Address - Street 1:4015 S MCCLINTOCK DR
Practice Address - Street 2:SUITE112
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5877
Practice Address - Country:US
Practice Address - Phone:480-775-8811
Practice Address - Fax:480-775-8811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZAP2408363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health