Individual provider · Type 1 NPI
Latoya Shallow, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Upper Marlboro, MD
NPI number
1720856172
Active
Practice location
1221 Mercantile Ln
Upper Marlboro, MD 20774-5374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R187274 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720856172
Latoya Shallow, PMHNP-BC's National Provider Identifier is 1720856172, issued on Dec 15, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Upper Marlboro, MD. The record was last updated on Dec 15, 2023.