Individual
ANNE WINNIE SHAGAVAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7955 TUCKERMAN LN, POTOMAC, MD 20854-3243
(866) 389-2727
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(239) 236-2775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016044348
MO
363LF0000X
Family Nurse Practitioner
Primary
R177403
MD
Other
Enumeration date
01/29/2014
Last updated
11/14/2024
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