Mary Alice S Shores in Eldersburg - Nurse Practitioner
Mary Alice S Shores - NPI 1922097161
Mary Alice S Shores is a Nurse Practitioner in Eldersburg, Maryland. Mary Alice S Shores practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Alice S Shores is 1922097161. The last update date is 2010-05-17.
Mary Alice S Shores's current location address is 1380 Progress Way, Eldersburg, Maryland. You can contact this provider via phone number 4107952233 and fax number 4107953538. The mailing address for Mary Alice S Shores is 1380 Progress Way, Eldersburg, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alice S Shores |
|---|---|
| Address | 1380 Progress Way, Eldersburg, Maryland |
| Phone Number | 4107952233 |
| Fax Number | 4107953538 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1922097161 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2010-05-17 |
Provider Mailing Address Detail
| Address | 1380 Progress Way |
|---|---|
| City | Eldersburg |
| State | Maryland (MD) |
| Post Code | 217846464 |
| Phone Number | 4107952233 |
| Fax Number | 4107953538 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R124642 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124L | MD | MEDICARE GROUP #-CARROLL PRIMA | |
| R124642 | MD | STATE OF MD |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Alice S Shores by the Centers for Medicare & Medicaid Services?
The Mary Alice S Shores has been assigned the NPI (National Provider Identifier) 1922097161. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Alice S Shores located?
The Mary Alice S Shores is located at 1380 Progress Way, Eldersburg, MD 217846464.
What is the Mary Alice S Shores's specialty and taxonomy code?
The Mary Alice S Shores's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date was the 1922097161 assigned to Mary Alice S Shores?
The Mary Alice S Shores was issued its 1922097161 on 2005-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Alice S Shores most recently updated or revised?
The details related to Mary Alice S Shores, including its address, specialty, and other relevant information, were last updated or revised on 2010-05-17.