Individual
SHANNON SEIFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 455-2300
Mailing address
7108 SANDY SPRING RD, LAUREL, MD 20707-5310
(240) 603-7987
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R145654
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406930700
—
MD
01
—
454MK569
TRAILBLAZER
MD
Enumeration date
06/28/2005
Last updated
01/22/2019
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