| Mrs Ellen Arrabal Chacon, NP | |
| 
					1645 Liberty Rd Ste 204, Eldersburg, MD 21784-6542  | |
| (410) 795-7737 | |
| Not Available | 
| Full Name | Mrs Ellen Arrabal Chacon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 1645 Liberty Rd Ste 204, Eldersburg, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316703564 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | R184690 (Maryland) | Primary | 
| Entity Name | Lifebridge Primary Care Of Eldersburg Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720404015 PECOS PAC ID: 0345465654 Enrollment ID: O20140630001230  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Ellen Arrabal Chacon, NP 1690 Gemini Dr, Eldersburg, MD 21784-6225 Ph: (443) 812-6109  | Mrs Ellen Arrabal Chacon, NP 1645 Liberty Rd Ste 204, Eldersburg, MD 21784-6542 Ph: (410) 795-7737  | 
Nicole Joy Fasulo Geraty, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Sherryl Ave, Eldersburg, MD 21784 Phone: 443-377-2078  | |
Maximilian Herwig,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900  | |
Claudia Marie Dorsey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 770 Old Liberty Rd Ste 3, Eldersburg, MD 21784 Phone: 410-970-8480 Fax: 855-576-5073  | |
Ms. Lavon Jeanine Magruder, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900  | |
Mrs. Francesca Juliet Carhart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5963 Exchange Dr Ste 100, Eldersburg, MD 21784 Phone: 410-549-0900  | |
Angela Harlee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6040 Sykesville Rd, Eldersburg, MD 21784 Phone: 410-781-4720  | |
Mei Ching Lee, A-GNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 Liberty Rd Ste 204, Eldersburg, MD 21784 Phone: 410-795-7737  |