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Miss Michelle Rene Demenkow, PHD
Psychiatric/Mental Health Nurse Practitioner in Sunrise, Florida
NPI 1063606614

Michelle Rene Demenkow is a Psychiatric/Mental Health Nurse Practitioner based in Sunrise, FL and is specialized in Psychiatric/Mental Health. Michelle Rene Demenkow practices in Sunrise, FL and has the professional credentials of PHD. The NPI Number for Michelle Rene Demenkow is 1063606614 and holds a License No. PY6763 (Florida).

The current practice location address for Michelle Rene Demenkow is 14201 W Sunrise Blvd, Sunrise, FL and can be reached out via phone at 954-851-9690 and via fax at 954-851-9688.

Location: 14201 W Sunrise Blvd, Sunrise, FL, 33323-3207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063606614
Provider Name
Michelle Rene Demenkow
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
14201 W Sunrise Blvd, Sunrise, FL, 33323-3207
Phone Number
954-851-9690
Fax Number
954-851-9688
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17568900 05 FL
institution
Provider Business Practice Location Address Details
Address
14201 W Sunrise Blvd
City
Sunrise
State
Florida
Zip
33323-3207
Phone Number
954-851-9690
Fax Number
954-851-9688
person
Provider Business Mailing Address Details
Address
14201 W Sunrise Blvd
City
Sunrise
State
Florida
Zip
33323-3207
Phone Number
954-851-9690
Fax Number
954-851-9688
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
ARNP9211884 (Florida)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
PY6763 (Florida)
Definition
Definition to come...
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