Individual provider · Type 1 NPI
Shannon Holder, DNP, NP-C, PMHNP-BC
Family Nurse Practitioner · Glen Burnie, MD
NPI number
1477974764
Active
Practice location
7596 Ritchie Hwy Unit 2037
Glen Burnie, MD 21060-8883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R170448 (MD) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R170448 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477974764
Shannon Holder, DNP, NP-C, PMHNP-BC's National Provider Identifier is 1477974764, issued on Jan 3, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glen Burnie, MD. The record was last updated on Jun 3, 2026.