Individual
MARY J SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1697 ONEIDA ST, HAVRE DE GRACE, MD 21078-2887
(973) 903-5538
Mailing address
1697 ONEIDA ST, HAVRE DE GRACE, MD 21078-2887
(973) 903-5538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00933800
NJ
363LF0000X
Family Nurse Practitioner
Primary
R238464
MD
Other
Enumeration date
06/20/2019
Last updated
11/27/2025
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