Provider Demographics
NPI:1427077825
Name:FERRIN, MICHELLE LYNN (CRNP-PMH)
Entity type:Individual
Prefix:PROF
First Name:MICHELLE
Middle Name:LYNN
Last Name:FERRIN
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16901 YEOHO RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9510
Mailing Address - Country:US
Mailing Address - Phone:443-465-4930
Mailing Address - Fax:647-715-9805
Practice Address - Street 1:2308 POPLAR RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-6126
Practice Address - Country:US
Practice Address - Phone:443-648-5995
Practice Address - Fax:647-715-9805
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR114404363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406232900Medicaid
MDN58782OtherCDS
MDQ31691Medicare UPIN
DC015624J69Medicare ID - Type Unspecified
MDMB-1150022OtherDEA