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Individual

MRS. SHANNA MAE NAOMI MASTRANGELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C, CPM

Contact information

Practice address
5187 ARDEN NOLLVILLE RD, MARTINSBURG, WV 25403-6113
(301) 991-7414
Mailing address
5187 ARDEN NOLLVILLE RD, MARTINSBURG, WV 25403-6113
(301) 991-7414

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
363LF0000X
Family Nurse Practitioner
Primary
105987
WV
363LF0000X
Family Nurse Practitioner
AC006009
MD

Other

Enumeration date
11/30/2012
Last updated
12/05/2023
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