Provider Demographics
NPI:1396813275
Name:MICHAEL, MICHELE ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANN
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:655 WEST LOMBARD
Mailing Address - Street 2:565C UNIVERSITY OF MARYLAND SCHOOL OF NURSING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-706-7873
Mailing Address - Fax:410-706-0401
Practice Address - Street 1:8300 CARLSON LANE
Practice Address - Street 2:WINFIELD ELEMENTARY WELLNESS CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244
Practice Address - Country:US
Practice Address - Phone:410-521-8291
Practice Address - Fax:410-521-8291
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDAC000148363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner