Individual
KATHLEEN SHAGENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-4563
(410) 955-7935
(410) 614-9983
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-4563
(410) 955-7935
(410) 614-9983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R093145
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536270900
—
MD
Enumeration date
06/30/2006
Last updated
07/14/2014
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