Individual
ELIZABETH LAYNE SHADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1331 S HANOVER ST, BALTIMORE, MD 21230-4220
(443) 996-7528
(410) 837-1552
Mailing address
6334 CEDAR LN STE 103, COLUMBIA, MD 21044-4172
(410) 531-2355
(410) 531-7041
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R122580
MD
Other
Enumeration date
08/12/2006
Last updated
08/25/2024
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