Provider Demographics
NPI:1235818030
Name:SHEARER, ELIZABETH SNYDER (DNP, CRNP, AGNP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SNYDER
Last Name:SHEARER
Suffix:
Gender:F
Credentials:DNP, CRNP, AGNP-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:JOANNE
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:833 S KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3839
Mailing Address - Country:US
Mailing Address - Phone:502-889-6409
Mailing Address - Fax:
Practice Address - Street 1:22 S GREENE ST STE S12D
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1590
Practice Address - Country:US
Practice Address - Phone:410-328-6034
Practice Address - Fax:410-328-0756
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229333363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner