Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Lea Antanovich, CRNPPMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487756458

Michelle Lea Antanovich, CRNPPMHNP is a Psychiatric/Mental Health Nurse Practitioner in Punta Gorda, Florida. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1485 Wassail Ln
Punta Gorda, FL 33983-6028
Phone: (941) 286-5033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 W 40th St Rm 500, New York, NY 10018-3770 — (212) 369-6757

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP022065 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP006096B (PA)

Record details

NPI number1487756458
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNPPMHNP
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

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