Healthcare Provider Details

I. General information

NPI: 1992984256
Provider Name (Legal Business Name): SHEILA LANELL CALVERT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 YORK RD STE 3 BUREAU OF LONG TERM CARE/MAPC
BALTIMORE MD
21212-2130
US

IV. Provider business mailing address

6401 YORK RD STE 3 BUREAU OF LONG TERM CARE/MAPC
BALTIMORE MD
21212-2130
US

V. Phone/Fax

Practice location:
  • Phone: 410-887-3485
  • Fax: 410-377-8296
Mailing address:
  • Phone: 410-887-3485
  • Fax: 410-377-8296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberR139401
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: