Healthcare Provider Details

I. General information

NPI: 1063911022
Provider Name (Legal Business Name): MICHELLE CURREY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 COCKEYSVILLE RD STE A100
COCKEYSVILLE MD
21030-2239
US

IV. Provider business mailing address

232 COCKEYSVILLE RD STE A100
COCKEYSVILLE MD
21030-2239
US

V. Phone/Fax

Practice location:
  • Phone: 443-966-4919
  • Fax: 888-518-4957
Mailing address:
  • Phone: 443-966-4919
  • Fax: 888-518-4957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0001412
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR193848
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: