Individual
SHELLY CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5350
Mailing address
7732 CYPRESS STREET, LAUREL, MD 20707
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R112960
MD
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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