Individual
SHANNON HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP-C, PMHNP-BC
Contact information
Practice address
7596 RITCHIE HWY UNIT 2037, GLEN BURNIE, MD 21060-8883
(410) 982-6682
Mailing address
7596 RITCHIE HWY UNIT 2037, GLEN BURNIE, MD 21060-8883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R170448
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R170448
MD
Other
Enumeration date
01/03/2014
Last updated
06/03/2026
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