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Contact Information

MICHELLE PETERSON, CRNP
3001 HOSPITAL DR
CHEVERLY, MD20785
 Phone: 410-328-6749
 Fax: 410-706-5103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

364SN0000X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MICHELLE PETERSON · (Female)

NPI # 1447350178
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/23/2006
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MD License # R125253
  • MD Medicaid 409112400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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