Individual
MS. MICHELE YVETTE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10902 OLD PRINCESS ANNE RD, PRINCESS ANNE, MD 21853-2940
(410) 651-4040
(888) 843-8455
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R161190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
10/08/2019
Last updated
02/09/2022
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