Provider Demographics
NPI:1487645768
Name:STOKES, ALAN L (NP)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:L
Last Name:STOKES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 S PACA ST STE 500
Mailing Address - Street 2:SHOCK TRAUMA ASSOCIATES, P.A.
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1712
Mailing Address - Country:US
Mailing Address - Phone:410-328-2913
Mailing Address - Fax:410-328-0321
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:DEPARTMENT OF SURGICAL CRITICAL CARE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:910-228-9374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001000363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
P68640Medicare UPIN
010392W15Medicare ID - Type Unspecified