Individual
MONIQUE MICHALL SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
312 KESTREL DR, BELCAMP, MD 21017-1708
(134) 765-3347
Mailing address
312 KESTREL DR, BELCAMP, MD 21017-1708
(134) 765-3347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R205012
MD
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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