Individual
MRS. MEGHAN J SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N. WOLFE ST, BALTIMORE, MD 21284
(410) 955-5260
Mailing address
612 GLEN ARBOR CT, SEVEN VALLEYS, PA 17360
(443) 415-2903
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R170221
MD
Other
Enumeration date
07/11/2011
Last updated
07/13/2011
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