Individual
SHANNON GAASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3479
Mailing address
17 TANGLEWOOD RD, CATONSVILLE, MD 21228-3643
(301) 471-3292
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
R189690
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R189690
MD
Other
Enumeration date
07/22/2015
Last updated
04/03/2018
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