Individual
MICHELLE LORENZO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4475 REGENCY PL STE 303, WHITE PLAINS, MD 20695-3077
(301) 645-3420
(301) 751-7923
Mailing address
3610 LUPTON CT, WHITE PLAINS, MD 20695-4231
(240) 441-2343
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R183748
MD
363LG0600X
Gerontology Nurse Practitioner
R183748
MD
363LP2300X
Primary Care Nurse Practitioner
R183748
MD
Other
Enumeration date
03/29/2021
Last updated
06/19/2021
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