Individual
SHANNON MARIE PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9619 DUNDAWAN RD, NOTTINGHAM, MD 21236-1011
(410) 206-8435
Mailing address
9619 DUNDAWAN RD, NOTTINGHAM, MD 21236-1011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194603
MD
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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