MICHELLE ENGDAYEHU


Address: 707 Hollybrook Dr, Longview, TX 75605
Phone: 9032916149

MICHELLE ENGDAYEHU (NPI# 1205292935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205292935
Entity Type Individual
Full Name MICHELLE ENGDAYEHU
Other Name MICHELLE APPLE
Credential RN FNP
Practice Address 707 Hollybrook Dr
Longview
TX 75605
Mailing Address Po Box 610393
Dallas
TX 75261-0393
Practice Telephone 9032916149
Practice Fax Number 9032916160
Mailing Telephone 9032916187
Mailing Fax Number 9032371810
Enumeration Date 2016-01-11
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP129817 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 355029503 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
307 W Upshur Ave, Gladewater, TX 756472121 9038452159 9038455451

Office Location

Street Address 707 HOLLYBROOK DR
City LONGVIEW
State TX
Zip Code 75605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922003680 Pavan Saridena Internal Medicine 707 Hollybrook Dr, Longview, TX 75605-2410 2005-06-17
1336787324 Hannah Joy Harrison Nurse Practitioner 707 Hollybrook Dr, Longview, TX 75605-2410 2019-12-20
1932640349 Associated Clinicians of East Texas Allergy & Immunology 707 Hollybrook Dr, Longview, TX 75605-2410 2017-03-17
1154786184 Sheena Shirley Nurse Practitioner 707 Hollybrook Dr, Longview, TX 75605-2410 2015-12-17
1376938126 Hawner Plastic Surgery Associates Plastic Surgery 707 Hollybrook Dr, Suite 400, Longview, TX 75605-2410 2015-03-30
1144662032 Tracy Leach Nurse Practitioner 707 Hollybrook Dr, Longview, TX 75605-2410 2013-07-22
1841564572 Diagnostic Clinic of Longview Durable Medical Equipment & Medical Supplies 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2410 2012-02-27
1144590894 Diagnostic Clinic of Longview Allergy & Immunology 707 Hollybrook Dr, Suite 504, Longview, TX 75605-2410 2012-01-11
1275832479 Darvy Lee Mann Pediatrics 707 Hollybrook Dr, Longview, TX 75605-2410 2011-03-28
1538490297 Kimberly Anne Wyatt Physician Assistant 707 Hollybrook Dr, Longview, TX 75605-2410 2010-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920247 Lisa Kalynn Sanders Nurse Practitioner 2128 Page Creek Trl, Longview, TX 75601-0007 2020-10-20
1265030993 Sarah Dawson Nurse Practitioner 2040 Eden Dr, Longview, TX 75601-3415 2020-10-14
1104455716 Carol Henry Nurse Practitioner 287 E Cliffwood St, Longview, TX 75603-7556 2020-04-06
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1649821901 Heather M Wilson Nurse Practitioner 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 2019-09-26
1942777826 Cami Jo Tice-harouff Nurse Practitioner 16 Ramblewood Dr, Longview, TX 75605-3351 2018-10-29
1346778685 Kyle Patrick Urbanek Nurse Practitioner 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 2017-05-31
1417481623 Cody Castle Nurse Practitioner 1103 Eden Dr, Longview, TX 75605-3114 2017-04-13
1134570856 Virginia Hardaway Nurse Practitioner 2953 Country Club Rd W, Longview, TX 75602-6861 2016-06-23
1275994824 Alto Behavioral Health Services Pllc Nurse Practitioner 827 Lansing Switch Rd, Longview, TX 75602-7102 2016-03-10
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Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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