Individual
SHELLEY CROUCH HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
621 RIDGELY AVE STE 101, ANNAPOLIS, MD 21401-1087
(410) 224-3636
(410) 972-2698
Mailing address
33 SOUTHGATE AVE, ANNAPOLIS, MD 21401-2827
(410) 279-2825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R159320
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401467700
—
MD
Enumeration date
11/18/2005
Last updated
05/05/2025
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