Individual
MICHELLE RENEE' MARTIN-RAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4940 EASTERN AVE BLDG ROOM271, BALTIMORE, MD 21224-2735
(410) 550-0347
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
R231023
MD
363LN0005X
Critical Care Neonatal Nurse Practitioner
R231023
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R231023
MD LICENSE
MD
Enumeration date
11/28/2017
Last updated
04/23/2025
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