Individual
MICHAELEEN KENNEDY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11560 CROSSROADS CIR STE 102, MIDDLE RIVER, MD 21220-2885
(410) 508-0722
Mailing address
11560 CROSSROADS CIRCLE, SUITE 102, MIDDLE RIVER, MD 21220-2885
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ACOO6878
MD
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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