Stase Elena Michota
Stase Elena Michota is a Nurse Practitioner in Saint Petersburg, Florida. Qualified in 2018, 8 years ago. Licensed in Florida.
- Years since qualifying
- 8
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
6901 22nd Ave NSaint Petersburg, FL 33710-3943
Phone: (727) 341-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence APRN11001287 (FL) |
|---|
Record details
| NPI number | 1144845413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 12, 2020 |
| Last updated in NPPES | June 12, 2020 |
| Certification date | June 12, 2020 |
| Mailing address | 1285 79th St S, Saint Petersburg, FL 33707-2718 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
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