Individual provider · Type 1 NPI
Mary Alice S. Shores, CRNP
Nurse Practitioner · Eldersburg, MD
Practice location
1380 Progress Way, Suite 114
Eldersburg, MD 21784-6464
Fax (410) 795-3538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R124642 (MD) |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1922097161
Mary Alice S. Shores, CRNP's National Provider Identifier is 1922097161, issued on Oct 20, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eldersburg, MD. The record was last updated on May 17, 2010.