Individual
SHANNON NICOLE MARUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1814 BEL AIR RD, FALLSTON, MD 21047-2734
(443) 981-3337
Mailing address
120 SISTER PIERRE DR STE 407, TOWSON, MD 21204-7536
(410) 769-8801
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R202904
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R202904
MD
Other
Enumeration date
04/06/2022
Last updated
02/21/2025
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