Mrs. Mary Alice S Shores
CRNP | Nurse Practitioner
1380 Progress Way, Suite 114, Eldersburg
Maryland, 21784-6464
410-795-2233
Mrs. Mary Alice S Shores is a Eldersburg, Maryland based nurse practitioner. Active license number of Mrs. Mary Alice S Shores is R124642 in Maryland. Her current practice location is 1380 Progress Way, Suite 114, Eldersburg. Patients can reach her at 410-795-2233 or can fax her at 410-795-3538. Mrs. Mary Alice S Shores is CRNP and her NPI number (Unique professional ID assigned by NPPES) is 1922097161.
Mrs. Mary Alice S Shores has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Mary Alice S Shores speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Mary Alice S Shores |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CRNP |
| Practice Address: | 1380 Progress Way, Suite 114, Eldersburg,
Maryland, 21784-6464 |
| Phone: | 410-795-2233 |
| Fax: | 410-795-3538 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922097161 |
| NPI Enumeration Date: | 20 Oct, 2005 |
| NPI Last Update On: | 17 May, 2010 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Mary Alice S Shores are as mentioned below.
| License Number | Specialization | State | Status | |
| R124642 | | Maryland | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Mary Alice S Shores such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 124L | Other | Maryland | MEDICARE GROUP #-CARROLL PRIMARY CARE-124L |
| R124642 | Other | Maryland | STATE OF MD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Mary Alice S Shores
1380 Progress Way, Suite 114
Eldersburg, Maryland |
| Zip: | 21784-6464 |
| Phone Number: | 410-795-2233 |
| Fax Number: | 410-795-3538 |
Patients can reach Mrs. Mary Alice S Shores at
1380 Progress Way, Suite 114, Eldersburg, Maryland or can
call to book an appointment on 410-795-2233.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.