Individual
MR. MICHAEL DARTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2045 DROVERS LN, COOKSVILLE, MD 21723-9504
(301) 996-9052
Mailing address
2045 DROVERS LN, COOKSVILLE, MD 21723-9504
(301) 996-9052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R168617
MD
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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