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NPI Code Detail

MEDICARE: MICHELLE PREEDY

MEDICARE: MICHELLE PREEDY
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 PractitionerR203958MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407180706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PREEDY
Provider Business Mailing Address
First Line : 2601 RIVA RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 RIVA RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7304
Country : US
Telephone Number : 410-571-2090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2009
Last Update Date : 01/23/2013

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Directions to “ MICHELLE PREEDY ” Practice Location

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