Individual
SHANELLE TAWANA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
332871
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
AC007515
MD
Other
Enumeration date
01/25/2024
Last updated
10/27/2025
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