Shanelle Smith, | |
405 Frederick Rd, Ste 162, Catonsville, MD 21228 | |
(443) 637-1007 | |
Not Available |
Full Name | Shanelle Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 405 Frederick Rd, Catonsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326829359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R205058 (Maryland) | Primary |
Entity Name | Triumph Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376999581 PECOS PAC ID: 9739470667 Enrollment ID: O20160623000286 |
Mailing Address | Practice Location Address |
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Shanelle Smith, 405 Frederick Rd, Ste 162, Catonsville, MD 21228 Ph: (443) 637-1002 | Shanelle Smith, 405 Frederick Rd, Ste 162, Catonsville, MD 21228 Ph: (443) 637-1007 |
Christina Fang, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Geipe Rd Ste 230, Catonsville, MD 21228 Phone: 410-247-7500 Fax: 410-247-4227 | |
Mrs. Ija Lynn Delia, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Maiden Choice Ln, Catonsville, MD 21228 Phone: 410-247-5602 Fax: 410-242-1756 | |
Joy C Odinammadu, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Baltimore National Pike Ste 170a, Catonsville, MD 21228 Phone: 443-739-7947 | |
Belinda Okoruwa, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Ingleside Ave, Catonsville, MD 21228 Phone: 443-551-3784 | |
Tiffany D Reabold, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Frederick Rd, Catonsville, MD 21228 Phone: 410-644-1880 Fax: 410-646-3623 | |
Michele Kyle Bradshaw, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6120 Baltimore National Pike Ste 200, Catonsville, MD 21228 Phone: 301-291-5272 | |
Dr. Renada Lynn Gilliard, DNP, MS, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Turk Garth, Catonsville, MD 21228 Phone: 443-695-4433 |