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SHANE P ELLIS CRNP ANP BC
NPI 1629325972
Nurse Practitioner - Adult Health in Baltimore, MD

Active since August 06, 2012
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-7755 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane P Ellis Crnp Anp Bc NPPES

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

SHANE P ELLIS CRNP ANP BC (NPI 1629325972) is an individual adult health provider in Baltimore, Maryland, licensed in Maryland (R144232) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1629325972
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANE P ELLISCredential: CRNP ANP BC
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address22 S Greene StBaltimore, MD 21201-1544 · (410) 328-7755
Phone(410) 328-7755
Sole ProprietorNo
Enumeration DateAugust 6, 2012
✔ NPI 1629325972 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 · R144232
22 S GREENE ST, Baltimore, MD 21201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

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 Shane Ellis's NPI number?

The NPI number for Shane Ellis is 1629325972. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Shane Ellis located?

Shane Ellis practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-7755.

What is Shane Ellis'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 Shane Ellis was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.