Individual provider · Type 1 NPI
Michelle Phebus, ATC
Other Specialist/Technologist · Severn, MD
NPI number
1104362839
Active
Practice location
1812 Lorgnette Ct
Severn, MD 21144-1635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | A0000632 (MD) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1104362839
Michelle Phebus, ATC's National Provider Identifier is 1104362839, issued on Jan 19, 2017. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Severn, MD. The record was last updated on Jan 19, 2017.