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Individual

CINDY SHANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP

Contact information

Practice address
7401 GREENBELT RD, GREENBELT, MD 20770-3402
(301) 982-5428
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-7215
(202) 302-8816

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R172234
MD
363LP0200X
Pediatric Nurse Practitioner
RN1004656
DC

Other

Enumeration date
06/27/2012
Last updated
09/07/2021
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