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MS. KRISTEN MICHELE MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1527
(410) 263-6363
Mailing address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1527
(410) 263-6363

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R136622
MD

Other

Enumeration date
07/24/2008
Last updated
11/28/2011
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