Individual
DR. SHANNON MARIE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2041 GEORGIA AVENUE NW, FIRST FLOOR, SUITE B, WASHINGTON, DC 20060-2006
(202) 865-6679
Mailing address
2041 GEORGIA AVENUE NW, SUITE 3400, HOWARD UNIVERSITY FACULTY PRACTICE PLAN, WASHINGTON, DC 20060-1502
(202) 865-6679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD210002010
DC
Other
Enumeration date
03/30/2018
Last updated
03/13/2023
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