Individual
SHANNON NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 SETON DR # C, CUMBERLAND, MD 21502-1851
(301) 797-7600
Mailing address
244 BLACKISTON AVE, CUMBERLAND, MD 21502-4304
(301) 268-5594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R214768
MD
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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