MICHELLE R DEMENKOW, PA
NPI 1962435271
Nurse Practitioner - Psychiatric/Mental Health in Sunrise, FL

Q: What is Michelle R Demenkow, PA's NPI number?

The NPI number for Michelle R Demenkow, PA is 1962435271. It was assigned to this organization in the NPPES registry on July 9, 2006.

Q: What is Michelle R Demenkow, PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 09, 2006

14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323(954) 851-9690(954) 366-5056 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2020, Apr 16, 2020, Jun 20, 2018 (3 updates tracked since 2018).

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About Michelle R Demenkow, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE R DEMENKOW, PA (NPI 1962435271) is a healthcare organization registered as a psychiatric/mental health in Sunrise, Florida and active in the NPI registry since July 2006. The organization lists Michelle R Demenkow, Owner, as its authorized official.

NPPES Registry Identity

NPI1962435271

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMICHELLE R DEMENKOW, PA

Location Address14201 W SUNRISE BLVD STE 208Sunrise, FL 33323

Mailing Address14201 W Sunrise Blvd Ste 208Sunrise, FL 33323-3207 · (954) 851-9690

Phone(954) 851-9690

Fax(954) 366-5056

Organization SubpartNo

Authorized OfficialMichelle R DemenkowOwner · (954) 856-8703

Enumeration DateJuly 9, 2006

Last NPPES UpdateMay 20, 20203 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1962435271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · ARNP9211884

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY6763 (FL)

14201 W SUNRISE BLVD STE 208, Sunrise, FL 33323

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE KUPERSMITH APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)