Medina, Kristen Michele

Medina, Kristen Michele is an sole proprietor health care provider with primary practice located at 200 Forbes St Ste 200 , Annapolis MD 21401-1527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Medina, Kristen Michele can be contacted via phone (410) 263-6363.

Contact Information

Primary practice address
200 Forbes St Ste 200 Annapolis MD 21401-1527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R136622 Maryland

Profile Details

NPI number 1376708834
LBN Legal business name Medina, Kristen Michele
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2008
Last updated Nov 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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