Individual
MS. MICHELLE LEE BATISTA - OLIVIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 125, BALTIMORE, MD 21236-5908
(443) 461-1997
Mailing address
PO BOX 759047, BALTIMORE, MD 21275-9047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003151
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0003151
STATE LICENSE
MD
Enumeration date
01/17/2007
Last updated
10/23/2012
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