Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane P Ellis, CRNPANPBC

Individual provider Adult Health Nurse Practitioner · NPI 1629325972

Shane P Ellis, CRNPANPBC is an Adult Health Nurse Practitioner in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012

Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-7755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R144232 (MD)

Record details

NPI number1629325972
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNPANPBC
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESAugust 6, 2012

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