Individual provider · Type 1 NPI

Elizabeth Layne Shadis, CRNP

Gerontology Nurse Practitioner · Baltimore, MD

NPI number 1275545980 Active

Practice location

1331 S Hanover St
Baltimore, MD 21230-4220

Call (443) 996-7528 Map

Fax (410) 837-1552

Mailing address

6334 Cedar Ln Ste 103
Columbia, MD 21044-4172

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR122580 (MD)

Gerontology Nurse Practitioner: Definition to come...

Other gerontology nurse practitioner providers in Baltimore

See all in Baltimore →

About NPI 1275545980

Elizabeth Layne Shadis, CRNP's National Provider Identifier is 1275545980, issued on Aug 12, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Baltimore, MD. The record was last updated on Aug 25, 2024.