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1336701507
SHANNON HANSEN
BALTIMORE, MD
NPI
1336701507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MD R157026)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
SHANNON HANSEN CRNP
10 N GREENE ST
BALTIMORE, MD 21201-1524
Phone number: 410-605-7000
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Mailing Address
SHANNON HANSEN CRNP
7111 NEWBERRY DR
COLUMBIA, MD 21044-4217
Phone number: 410-935-1088
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