Individual
SHAKIA MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093-6011
(980) 699-5320
Mailing address
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093-6011
(980) 699-5320
(214) 807-5419
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R240365
MD
363LF0000X
Family Nurse Practitioner
Primary
R240365
MD
363LP2300X
Primary Care Nurse Practitioner
R240365
MD
Other
Enumeration date
01/10/2025
Last updated
04/16/2026
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