Healthcare Provider Details

I. General information

NPI: 1295384030
Provider Name (Legal Business Name): SHANTE FRANKLIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S CATON AVE LOT J
BALTIMORE MD
21229-5201
US

IV. Provider business mailing address

900 S CATON AVE LOT J
BALTIMORE MD
21229-5201
US

V. Phone/Fax

Practice location:
  • Phone: 410-369-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number821811
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013009
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR191788
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: