MICHEALLE G HARRISON


Address: 8800 Walther Blvd, Baltimore, MD 21234-9001
Phone: 4108823240

MICHEALLE G HARRISON (NPI# 1437167145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437167145
Entity Type Individual
Full Name MICHEALLE G HARRISON
Credential CRNP
Practice Address 8800 Walther Blvd
Baltimore
MD 21234-9001
Mailing Address 701 Maiden Choice Ln
Baltimore
MD 21228-5968
Practice Telephone 4108823240
Practice Fax Number 4106615093
Enumeration Date 2006-08-04
Last Update Date 2009-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R171944 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAREFIRST MD 89234701 01
CAREFIRST BCBS OF MD 0943ER-892347-02 01
CAREFIRST BCBS OF MD 093NER-892347-01 01
CAREFIRST BCBS OF MD 093NSE-892347-01 01
BCBS DC 0051 01
CAREFIRST BCBS OF DC 9676-0037 01
EVERCARE 83-03374 01
MD 411440000 05

Office Location

Street Address 8800 WALTHER BLVD
City BALTIMORE
State MD
Zip Code 21234-9001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437159159 Victoria A Vanik Internal Medicine 8800 Walther Blvd, Baltimore, MD 21234-9001 2005-07-22
1699252585 May Gerochi Registered Nurse 8800 Walther Blvd, Baltimore, MD 21234-9001 2018-07-24
1669996773 Erika F.a. Harris Social Worker 8800 Walther Blvd, Baltimore, MD 21234-9001 2017-07-31
1205283009 Nicole Campbell Nurse Practitioner 8800 Walther Blvd, Baltimore, MD 21234 2016-05-21
1447386743 Florence Marcus Podiatrist 8800 Walther Blvd, Baltimore, MD 21234 2007-02-23
1386795912 Erickson Health Medical Group of Maryland, PC Durable Medical Equipment & Medical Supplies 8800 Walther Blvd, Baltimore, MD 21234-9001 2007-01-12
1528128345 Felicia Nicholsonbrown Family Medicine 8800 Walther Blvd, Baltimore, MD 21234-9001 2006-12-11
1376651273 Malika F. Waseem Internal Medicine 8800 Walther Blvd, Baltimore, MD 21234 2006-08-29
1093735474 Erickson Health Medical Group of Maryland PC Family Medicine 8800 Walther Blvd, Baltimore, MD 21234-9001 2006-07-20
1588696967 Lloyd Bowser Podiatrist 8800 Walther Blvd, Baltimore, MD 21234-9001 2006-07-07
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Providers in the same zip code

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1225671936 Center for Creative Values, Inc Clinic/Center 8110 Harford Road Suite B, Parkville, MD 21234 2019-10-25
1598267072 Beyond This Day Behavioral Health Counselor 7231 Harford Rd., Baltimore, MD 21234 2018-03-01
1720587454 Susan Parvis Cheek Psychologist 3501 Taylor Av, Baltimore, MD 21234 2018-02-08
1821507823 Dionna Marcia Joseph Counselor 8646 Hoerner Avenue, Parkville, MD 21234 2017-09-22
1023536323 Marquita Johnson Home Health Aide 2245 Pentland Dr Apt A, Parkville, MD 21234 2017-09-07
1538687140 E & T Healthcare Enterprise Nurse Practitioner 8113 Hartford Road, Baltimore, MD 21234 2017-09-04
1295252278 Amelia Ruth Anthony Social Worker 6802 Mcclean Blvd., Baltimore, MD 21234 2017-08-29
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659981728 Jamie Briddell Nurse Practitioner 250 N Calvert St, Baltimore, MD 21202-3505 2020-08-04
1790300903 Hall Diabetes Management and Resource Center PC Nurse Practitioner 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 2020-06-12
1356978530 Melissa Irvin Sahm Nurse Practitioner 2634 Guilford Ave, Baltimore, MD 21218-4611 2020-03-26
1821646092 Aaron Murfin Nurse Practitioner 1055 W Market St Ste H, Baltimore, OH 43105-1284 2019-08-29
1669024543 Alpa Uchil Nurse Practitioner 601 N Caroline St Ste 5061, Baltimore, MD 21287-0006 2019-07-11
1982169918 Stephanie Ann Wagner Nurse Practitioner 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 2019-02-04
1386118289 Dia Lynae Johnson Nurse Practitioner 4101 Glenhunt Rd, Baltimore, MD 21229-1705 2019-01-14
1083181077 Gilah Speedone Nurse Practitioner 5915 Western Park Dr, Baltimore, MD 21209-3416 2018-10-27
1144719634 Kathryn Ellen Menzel Nurse Practitioner 601 N Caroline St Fl 7, Baltimore, MD 21287-0006 2018-05-09
1659815520 Leonard Mugo Nurse Practitioner 4611 Southwood Ave, Baltimore, MD 21206-2245 2016-12-13
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Competitor

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City BALTIMORE
Zip Code 21234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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