Individual provider · Type 1 NPI
Mary Alice Olds, CRNP
Family Nurse Practitioner · Ellicott City, MD
NPI number
1154007409
Active
Practice location
4775 Ilkley Moor Ln
Ellicott City, MD 21043-6531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R199404 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154007409
Mary Alice Olds, CRNP's National Provider Identifier is 1154007409, issued on Jun 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellicott City, MD. The record was last updated on Oct 12, 2026.