Organization
ELLIE OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STAMPER (FRANCHISE OWNER)
(443) 336-9745
Entity
Organization
Contact information
Practice address
900 BESTGATE RD STE 210, ANNAPOLIS, MD 21401-7922
(410) 267-3706
(443) 782-3476
Mailing address
900 BESTGATE RD STE 210, ANNAPOLIS, MD 21401-7922
(410) 267-3706
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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