MRS. MARY ALICE S SHORES CRNP
NPI 1922097161
Nurse Practitioner in Eldersburg, MD

Active since October 20, 2005
1380 PROGRESS WAY, SUITE 114, ELDERSBURG, MD 21784(410) 795-2233(410) 795-3538 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Alice S Shores Crnp NPPES

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

MRS. MARY ALICE S SHORES CRNP (NPI 1922097161) is an individual nurse practitioner in Eldersburg, Maryland, licensed in Maryland (R124642) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1922097161
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY ALICE S SHORESCredential: CRNP
Location Address1380 PROGRESS WAY, SUITE 114Eldersburg, MD 21784-6464
Mailing Address1380 Progress Way, Suite 114Eldersburg, MD 21784-6464 · (410) 795-2233 · Fax (410) 795-3538
Fax(410) 795-3538
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateMay 17, 2010
NPI 1922097161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R124642
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1380 PROGRESS WAY, Eldersburg, MD 21784

Other Identifiers 4

OtherR124642MD · State Of Md
Medicare UPINP47098
Other124LMD · Medicare Group #-carroll Primary Care-124l
Medicare ID-Type Unspecified4321C731

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.

Psychologist (Clinical)
1380 PROGRESS WAY, SUITE101
ELDERSBURG, MD 21784
Psychologist
1380 PROGRESS WAY, SUITE 101
ELDERSBURG, MD 21784
Family Medicine
1380 PROGRESS WAY, SUITE 114
ELDERSBURG, MD 21784
Psychologist
1380 PROGRESS WAY, #101
ELDERSBURG, MD 21784
Psychologist
1380 PROGRESS WAY, SUITE 101
ELDERSBURG, MD 21784
Family Medicine
1380 PROGRESS WAY, SUITE112
ELDERSBURG, MD 21784
Psychologist
1380 PROGRESS WAY, SUITE 101
ELDERSBURG, MD 21784
Family Medicine
1380 PROGRESS WAY, SUITE112
ELDERSBURG, MD 21784

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 Mary Alice Shores's NPI number?

The NPI number for Mary Alice Shores is 1922097161. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Mary Alice Shores located?

Mary Alice Shores practices at 1380 Progress Way Suite 114, Eldersburg, MD 21784. The listed phone number is (410) 795-2233.

What is Mary Alice Shores's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Alice Shores was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.