# BAYSIDE HEALTH HOLDINGS LLC

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

## Provider details

- **NPI number:** 1700795135
- **Authorized official:** SHANNON SMITH NP (MANAGING MEMBER)
- **Authorized official phone:** (443) 373-3245

## Contact information

- **Practice address:** 617 FRANKLIN AVE UNIT 14, BERLIN, MD 21811-1358
- **Practice address phone:** (443) 373-3245
- **Mailing address:** 617 FRANKLIN AVE UNIT 14, BERLIN, MD 21811-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026