| Doctor Name: | MICHELE ELCANO GLEITSMANN |
| NPI Number: | 1396783320 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., A.P.R.N., B.C. |
| License Number: | R057725 |
| Business Practice Address: | 2021 Chaneyville Rd Suite 102 Owings, MD - 207364319 |
| Business Phone Number: | 4102860664 |
| Business Fax Number: | 4102860664 |
| Mailing Address: | Po Box 630973, BALTIMORE |
| State: | MD |
| Postal Code: | 212630973 |
| Phone Number: | 4102860664 |
| Fax Number: | 4102860664 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 12/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | R057725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |