Individual
MICHELLE PREEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(410) 571-2090
Mailing address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R203958
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300709
—
MA
Enumeration date
09/21/2009
Last updated
01/23/2013
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