Individual
MRS. MICHELLE ELAINE SULTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
28105 THREE NOTCH RD, 1C, MECHANICSVILLE, MD 20659-3235
(301) 290-1510
Mailing address
28105 THREE NOTCH RD, 1C, MECHANICSVILLE, MD 20659-3235
(301) 290-1510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R161602
MD
Other
Enumeration date
03/22/2011
Last updated
04/19/2015
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