Provider Demographics
NPI:1366229858
Name:ROSENSTEIN, MICHELE D (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:D
Last Name:ROSENSTEIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8717 SPRINGVALE DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4033
Mailing Address - Country:US
Mailing Address - Phone:410-236-5812
Mailing Address - Fax:
Practice Address - Street 1:8717 SPRINGVALE DR
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4033
Practice Address - Country:US
Practice Address - Phone:410-236-5812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR126610363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology