Individual
MS. CATHLEEN ELLEN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 651-0177
(301) 294-6058
Mailing address
1794 MILBORO DR, POTOMAC, MD 20854-6122
(301) 651-0177
(301) 294-6058
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R185812
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1022167
DC
Other
Enumeration date
12/08/2014
Last updated
05/25/2016
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