Individual
DIANA MICHELLE SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
227 GATEWAY DR, BEL AIR, MD 21014-4287
(410) 638-7554
Mailing address
815 GILBERT RD, ABERDEEN, MD 21001-1242
(443) 710-5125
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R203048
MD
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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