Individual
DANIEL SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
503 MUIR ST STE A, CAMBRIDGE, MD 21613-1848
(410) 228-4045
(410) 221-6457
Mailing address
301 RANDOLPH ST, DENTON, MD 21629-1243
(410) 479-4306
(410) 479-1714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R202785
MD
363L00000X
Nurse Practitioner
Primary
R202785
MD
Other
Enumeration date
12/01/2017
Last updated
01/11/2018
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