Individual
DR. SHAVON TRENICE DARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PHD
Contact information
Practice address
2601 W NORTH AVE, HHSB SUITE 131, BALTIMORE, MD 21216
(410) 951-4188
(410) 951-6158
Mailing address
2601 W NORTH AVE, HHSB SUITE 131, BALTIMORE, MD 21216
(410) 951-4188
(410) 951-6158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R157896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512042000
—
MD
Enumeration date
07/15/2005
Last updated
10/13/2015
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