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Individual

MICHELLE CANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
905 TOWER RD STE 3188, BRISTOL, PA 19007-3116
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
(855) 866-8710

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2022058605
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP026879
PA

Other

Enumeration date
11/30/2022
Last updated
12/31/2025
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