| Mrs Nicole Latasha Shell, PMHNP-BC | |
|
5430 Campbell Blvd Ste 107, White Marsh, MD 21162-5503 | |
| (443) 720-3902 | |
| (443) 720-3916 |
| Full Name | Mrs Nicole Latasha Shell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 5430 Campbell Blvd Ste 107, White Marsh, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265056774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R192533 (Maryland) | Primary |
| Entity Name | Restoring Minds Behavioral Health Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619647948 PECOS PAC ID: 0143709204 Enrollment ID: O20260209003116 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Latasha Shell, PMHNP-BC 1105 N Point Blvd Ste 310, Baltimore, MD 21224-3472 Ph: (410) 800-6186 | Mrs Nicole Latasha Shell, PMHNP-BC 5430 Campbell Blvd Ste 107, White Marsh, MD 21162-5503 Ph: (443) 720-3902 |
Amber Giesel Viel, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162 Phone: 410-933-9404 Fax: 410-933-9405 |
Ms. Alicia Lajuan Medina, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5609 Honeygo Ridge Ct, White Marsh, MD 21162 Phone: 410-908-8861 |
Gina Cordial, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5629 Country Farm Rd, White Marsh, MD 21162 Phone: 410-900-6587 |
Dr. Jennifer Lynne Canapp, AGPCNP-BC, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11315 Holter Rd, White Marsh, MD 21162 Phone: 410-440-1475 |
Oben Gladys Bessong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11709 Philadelphia Rd, White Marsh, MD 21162 Phone: 410-947-3052 |
Mrs. Chinyere Delicia Umezurike, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10513 Vincent Rd, White Marsh, MD 21162 Phone: 410-335-3657 |
Abiola O Dada, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5617 Crescent Ridge Dr, White Marsh, MD 21162 Phone: 443-854-1072 |