Individual provider · Type 1 NPI
Shannon Nicole Martin
Family Nurse Practitioner · Cumberland, MD
NPI number
1962001818
Active
Practice location
924 Seton Dr # C
Cumberland, MD 21502-1851
Mailing address
244 Blackiston Ave
Cumberland, MD 21502-4304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R214768 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962001818
Shannon Nicole Martin's National Provider Identifier is 1962001818, issued on Oct 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cumberland, MD. The record was last updated on Oct 21, 2020.