Individual
MICHELLE MAYBELL KIRWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 N CHARLES ST STE 4105, TOWSON, MD 21204-6881
(443) 849-3184
Mailing address
114B 11TH AVE S, SURFSIDE BEACH, SC 29575-3200
(443) 801-5492
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R153185
MD
Other
Enumeration date
05/23/2018
Last updated
09/27/2023
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