Individual
SHEREEN ZELLIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
8924 RICKY TREVOR RD, PERRY HALL, MD 21128-9820
(443) 739-8638
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R194451
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/10/2023
Last updated
08/28/2023
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