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Individual

MS. CAROLINE T SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
9220 SPRINGHILL LN, GREENBELT, MD 20770-1203
(240) 624-2278
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R091066
MD
363LF0000X
Family Nurse Practitioner
R091066
MD
363LW0102X
Women's Health Nurse Practitioner
Primary
R091066
MD

Other

Enumeration date
12/02/2006
Last updated
06/03/2021
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