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Individual

DR. MARIANNE SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., CRNP

Contact information

Practice address
10 N GREENE ST, BALTIMORE VA MEDICAL CENTER (BT/18/GR), BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7913
Mailing address
8 N CHESTER ST, BALTIMORE, MD 21231-1624
(410) 732-3505
(410) 605-7913

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R138373
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
R138373
MD

Other

Enumeration date
07/21/2006
Last updated
09/11/2025
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