SHANE P ELLIS

BALTIMORE, MD
NPI1629325972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MD  R144232)
Enumeration Date2012-08-06
Last Update Date2012-08-06
Business Address
-- SHANE P ELLIS CRNP ANP BC
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-7755
Mailing Address
-- SHANE P ELLIS CRNP ANP BC
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-7755
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