Individual
MRS. SHEMICKA ASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
Mailing address
5500 KNOLL NORTH DR STE 370, COLUMBIA, MD 21045-2393
(410) 837-2050
(410) 715-1434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R216750
MD
363LF0000X
Family Nurse Practitioner
SP013563
PA
Other
Enumeration date
01/02/2014
Last updated
06/29/2021
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