Individual provider · Type 1 NPI

Shirley Lin Pack, NURSE PRACTITIONER

Nurse Practitioner · Odenton, MD

NPI number 1619567906 Active

Practice location

700 Summertime Dr
Odenton, MD 21113-1590

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR199636 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619567906

Shirley Lin Pack, NURSE PRACTITIONER's National Provider Identifier is 1619567906, issued on Jan 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Odenton, MD. The record was last updated on Jan 21, 2021.