Individual provider · Type 1 NPI
Shannon Nichole Ledroux
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1194183442
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Fax (410) 328-1048
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R234982 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1194183442
Shannon Nichole Ledroux's National Provider Identifier is 1194183442, issued on Feb 2, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Mar 29, 2019.