1427077825 NPI number — PROF. MICHELLE LYNN FERRIN CRNP-PMH

Table of content: PROF. MICHELLE LYNN FERRIN CRNP-PMH (NPI 1427077825)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427077825 NPI number — PROF. MICHELLE LYNN FERRIN CRNP-PMH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERRIN
Provider First Name:
MICHELLE
Provider Middle Name:
LYNN
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
CRNP-PMH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427077825
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16901 YEOHO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPARKS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21152-9510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-465-4930
Provider Business Mailing Address Fax Number:
647-715-9805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2308 POPLAR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESSEX
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21221-6126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-648-5995
Provider Business Practice Location Address Fax Number:
647-715-9805
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  R114404 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 406232900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: N58782 . This is a "CDS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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