Individual provider · Type 1 NPI
Mary J. Shade, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Catonsville, MD
NPI number
1760042899
Active
Practice location
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Fax (570) 410-8110
Mailing address
PO Box 147
Havre De Grace, MD 21078-0147
Other practice locations
- 712 S Keyser Ave Unit 5-6, Taylor, PA 18517-9614 · (570) 232-3451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00933800 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP036380 (PA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00933800 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R238464 (MD) |
| Family Nurse Practitioner | 363LF0000X | R238464 (MD) |
| Family Nurse Practitioner | 363LF0000X | SP035477 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
79 other providers at this address
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Other psychiatric/mental health nurse practitioner providers in Catonsville
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- Joy C. Odinammadu, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1023486263
- Tenni O. John-Idiagbonya, FNP, PMHNPPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1053850008
- Michele Kyle Bradshaw, DNP, CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1063158723
- Oluwakemi Mary Oyefusi, APRN, CRNPPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1124314646
- Sward Kamarah, NPPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1144917485
- Tiffany Ross, NURSE PRACTITIONERPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1174984199
- Chiamaka Adaku Nnah, RN, PMHNP-BC, DNPPsychiatric/Mental Health Nurse Practitioner Catonsville, MD NPI 1205587284
About NPI 1760042899
Mary J. Shade, FNP-C, PMHNP-BC's National Provider Identifier is 1760042899, issued on Jun 20, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Catonsville, MD. The record was last updated on Aug 29, 2026.