Individual
SHAZEEDA AVERITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
621 RIDGELY AVENUE, ANNAPOLIS, MD 21401
(410) 266-1588
Mailing address
621 RIDGELY AVENUE, SUITE 204, ANNAPOLIS, MD 21401
(410) 266-1588
(410) 266-6931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R198233
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00943324A
—
GA
Enumeration date
07/25/2006
Last updated
07/30/2014
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