Individual provider · Type 1 NPI
Shauna Pettis, ANP
Adult Health Nurse Practitioner · Brandywine, MD
NPI number
1902133143
Active
Practice location
7450 Albert Rd Fl 2
Brandywine, MD 20613-3035
Fax (301) 888-9133
Mailing address
11207 Barnswallow Pl Apt E
Waldorf, MD 20603-4837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R215472 (MD) |
Adult Health Nurse Practitioner: Definition to come...
8 other providers at this address
- Greater Baden Medical Service IncorporatedFederally Qualified Health Center (FQHC) Brandywine, MD NPI 1912927344
- Amar A. Mukhtar, DOPsychiatry Physician Brandywine, MD NPI 1346697760
- Brenda L. Burnett, LCPCProfessional Counselor Brandywine, MD NPI 1760903736
- Clarence McNeil Johnson Jr., CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Brandywine, MD NPI 1740755594
- Dawn Alicia Williams, MSN FNP-CFamily Nurse Practitioner Brandywine, MD NPI 1114648607
- Donna McConathy, CRNPNurse Practitioner Brandywine, MD NPI 1326116674
- George Patrick Glick, NPAdult Health Nurse Practitioner Brandywine, MD NPI 1891865325
- Jessica Ofosua, NPFamily Nurse Practitioner Brandywine, MD NPI 1801515788
Other adult health nurse practitioner providers in Brandywine
About NPI 1902133143
Shauna Pettis, ANP's National Provider Identifier is 1902133143, issued on Nov 9, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brandywine, MD. The record was last updated on Feb 16, 2023.