Individual
MRS. SHANNON NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1406B CRAIN HWY S STE 304, GLEN BURNIE, MD 21061-4094
(301) 804-0344
Mailing address
1406B CRAIN HWY S STE 304, GLEN BURNIE, MD 21061-4094
(301) 804-0344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R182264
MD
Other
Enumeration date
12/09/2015
Last updated
12/19/2022
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