# ELLIE OF MARYLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457051831
- **Authorized official:** MICHAEL STAMPER (FRANCHISE OWNER)
- **Authorized official phone:** (443) 336-9745

## Contact information

- **Practice address:** 900 BESTGATE RD STE 210, ANNAPOLIS, MD 21401-7922
- **Practice address phone:** (410) 267-3706
- **Practice address fax:** (443) 782-3476
- **Mailing address:** 900 BESTGATE RD STE 210, ANNAPOLIS, MD 21401-7922
- **Mailing address phone:** (410) 267-3706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 03/06/2023