MS. SHIRLEY JANE SAMPLE C.R.N.P.
NPI 1417019936
Nurse Practitioner - Adult Health in Lutherville, MD

Q: What is Shirley Sample's NPI number?

The NPI number for Shirley Sample is 1417019936. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Shirley Sample's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Sample was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 14, 2006

1300 BELLONA AVE STE B, LUTHERVILLE, MD 21093(844) 606-5105 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Shirley Jane Sample C.r.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHIRLEY JANE SAMPLE C.R.N.P. (NPI 1417019936) is an individual adult health provider in Lutherville, Maryland, licensed in Maryland (R080367) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1417019936

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. SHIRLEY JANE SAMPLECredential: C.R.N.P.

Location Address1300 BELLONA AVE STE BLutherville, MD 21093-5466

Mailing Address11525 Hannibal RdGlen Arm, MD 21057-9207 · (443) 807-1737

Phone(844) 606-5105

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateAugust 20, 2014

✔ NPI 1417019936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MD · R080367

1300 BELLONA AVE STE B, Lutherville, MD 21093

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Sample's NPI number?

The NPI number for Shirley Sample is 1417019936. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Shirley Sample located?

Shirley Sample practices at 1300 Bellona Ave Ste B, Lutherville, MD 21093. The listed phone number is (844) 606-5105.

What is Shirley Sample's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Shirley Sample was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.