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Individual

SHENICKA O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
20 CRAIGTOWN RD, PORT DEPOSIT, MD 21904-1801
(410) 642-9472
Mailing address
20 CRAIGTOWN RD, PORT DEPOSIT, MD 21904-1801

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R235172
MD

Other

Enumeration date
10/26/2021
Last updated
05/08/2024
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