Individual provider · Type 1 NPI

Shannon Hansen, CRNP

Primary Care Nurse Practitioner · Baltimore, MD

NPI number 1336701507 Active

Practice location

10 N Greene St
Baltimore, MD 21201-1524

Call (410) 605-7000 Map

Mailing address

7111 Newberry Dr
Columbia, MD 21044-4217

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XR157026 (MD)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1336701507

Shannon Hansen, CRNP's National Provider Identifier is 1336701507, issued on Jul 8, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2019.