Provider Demographics
NPI:1588364079
Name:MICHAUX, BELINDA DAWN
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:DAWN
Last Name:MICHAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5466 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-7354
Mailing Address - Country:US
Mailing Address - Phone:386-960-4309
Mailing Address - Fax:
Practice Address - Street 1:5466 5TH ST
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-7354
Practice Address - Country:US
Practice Address - Phone:386-960-4309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula