MEDICARE: JUSTINE S ELLERMAN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R191521	MD

General Provider Information

NPI Number	:	1043505324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINE S ELLERMAN CRNP

Provider Business Mailing Address
First Line	:	PO BOX 76
Second Line	:
City	:	SAINT LEONARD
State	:	MD
Zip	:	20685-0076
Country	:	US
Telephone Number	:	516-754-3268
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 BALL RD
Second Line	:
City	:	SAINT LEONARD
State	:	MD
Zip	:	20685-2116
Country	:	US
Telephone Number	:	516-754-3268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	06/14/2011

Similar Medicare Providers

1265662357 — ANGELIC HOME CARE INC.
Practice Location Address:

4670 WILLIAMS WHARF RD
SAINT LEONARD, MD
20685-3044

Practice Phone: 301-618-9223
Practice Fax: 443-295-7814

1205164308 — ERICA JOY MS CCC-SLP
Practice Location Address:

5370 SAINT LEONARD RD
SAINT LEONARD, MD
20685-2557

Practice Phone: 443-550-9760
Practice Fax: 410-286-4022

1053660100 — MEDICAL HOME DESIGN & RENOVATION
Practice Location Address:

1181 THOMPSON CT
SAINT LEONARD, MD
20685-2917

Practice Phone: 267-697-9667
Practice Fax:

1326437963 — A PLACE FOR ME, INC
Practice Location Address:

4670 WILLIAMS WHARF RD
SAINT LEONARD, MD
20685-3044

Practice Phone: 202-494-8838
Practice Fax: 443-295-7814

1982089637 — GILEAD CHRISTIAN COUNSELING LLC
Practice Location Address:

950 CALVERT BEACH RD
SAINT LEONARD, MD
20685-2843

Practice Phone: 443-404-7366
Practice Fax:

1477051969 — ZACHARY JON KIRKWOOD
Practice Location Address:

1750 LEOS WAY
SAINT LEONARD, MD
20685-2925

Practice Phone: 443-684-8193
Practice Fax:

Directions to “ JUSTINE S ELLERMAN CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.