Provider Demographics
NPI:1497530224
Name:LANCASTER, ELLEN RACHEL (FNP-BC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:RACHEL
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 BEL AIR RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2715
Mailing Address - Country:US
Mailing Address - Phone:410-929-6051
Mailing Address - Fax:410-907-7278
Practice Address - Street 1:2307 BEL AIR RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2715
Practice Address - Country:US
Practice Address - Phone:410-929-6051
Practice Address - Fax:410-907-7278
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR209407363L00000X
CA95026338363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner