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NPI Code Detail

MEDICARE: MICHELLE FICHTER

MEDICARE: MICHELLE FICHTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR225713MD

General Provider Information

NPI Number : 1043863194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE FICHTER
Provider Business Mailing Address
First Line : 6700 RACE TRACK RD
Second Line :
City : BOWIE
State : MD
Zip : 20715-3009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6700 RACE TRACK RD
Second Line :
City : BOWIE
State : MD
Zip : 20715-3009
Country : US
Telephone Number : 301-383-2581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2019
Last Update Date : 08/12/2020

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