Individual
AMY ELIZABETH SHIVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4407 HARTWICK RD, COLLEGE PARK, MD 20740-3209
(240) 724-6184
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0086200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340510201
—
TX
Enumeration date
05/18/2011
Last updated
07/07/2025
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