Individual
MRS. EDNA ROCHELLE MICHEL-MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
405 FREDERICK RD, SUITE 104, CATONSVILLE, MD 21228-4645
(410) 747-2600
(410) 719-9387
Mailing address
8113 VENTNOR ROAD, PASADENA, MD 21122-5728
(410) 744-0004
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R048504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113202400
—
MD
Enumeration date
08/08/2006
Last updated
02/27/2012
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