Individual
MR. SHAWN ANTONIO DWIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP B-C
Contact information
Practice address
8008 DALESFORD RD, PARKVILLE, MD 21234-5222
(443) 452-8469
Mailing address
8008 DALESFORD RD, PARKVILLE, MD 21234-5222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R257449
MD
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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