# SEVA HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083022966
- **Authorized official:** MRS. ANGEL V SHANNON CRNP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 299-3803

## Contact information

- **Practice address:** 9133 SUNSET RIDGE RD, RANDALLSTOWN, MD 21133-3651
- **Practice address phone:** (410) 299-3803
- **Mailing address:** 9133 SUNSET RIDGE RD, RANDALLSTOWN, MD 21133-3651
- **Mailing address phone:** (410) 299-3803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | R121021 | MD | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | R121021 | MD | — |

## Other

- **Enumeration date:** 07/23/2014
- **Last updated:** 07/23/2014