Individual
MRS. MELISSA VICTORIA DEITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6085 MARSHALEE DR, SUITE 110, ELKRIDGE, MD 21075-6023
(301) 536-1564
Mailing address
445 AMELANCHIER CT, BEL AIR, MD 21015-8917
(301) 536-1564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R118245
MD
Other
Enumeration date
01/12/2007
Last updated
09/15/2017
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