Ms Sue Ellen Shives, RN is a
Registered Nurse based in Clear Spring, Maryland. Ms Sue Ellen Shives is licensed to practice in Maryland (license number R173386) and her current practice location is
11902 Saint Paul Rd, Clear Spring, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 842-2548.
NPI number for Ms Sue Ellen Shives is 1972862704 and her current mailing address is 11902 Saint Paul Rd, Clear Spring, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972862704.
Provider's Profile
Full Name | Ms Sue Ellen Shives |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 11902 Saint Paul Rd, Clear Spring, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972862704
- Provider Enumeration Date: 05/14/2012
- Last Update Date: 05/14/2012
Medical Identifiers
Medical identifiers for Ms Sue Ellen Shives such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972862704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R173386 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sue Ellen Shives is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Sue Ellen Shives, RN 11902 Saint Paul Rd, Clear Spring, MD 21722-1946 Ph: (301) 842-2548 | Ms Sue Ellen Shives, RN 11902 Saint Paul Rd, Clear Spring, MD 21722-1946 Ph: (301) 842-2548 |
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