Provider Demographics
NPI:1679847651
Name:ZEBROWSKI, MICHELLE (ANP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ZEBROWSKI
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LEIGH
Other - Last Name:SPAHOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:226 E COLLEGE ST STE B
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4348
Mailing Address - Country:US
Mailing Address - Phone:678-987-1490
Mailing Address - Fax:678-987-1491
Practice Address - Street 1:226 E COLLEGE ST
Practice Address - Street 2:SUITE B
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4348
Practice Address - Country:US
Practice Address - Phone:678-987-1490
Practice Address - Fax:678-987-1491
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN112750163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse