Individual
DR. SHAWNA SPEARS MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
1132 ANNAPOLIS RD STE 201, ODENTON, MD 21113-1673
(410) 874-1600
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R119369
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
682202900
—
MD
Enumeration date
05/17/2006
Last updated
06/05/2018
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