SHANNON K IDZIK

BALTIMORE, MD
NPI1467445924
Former NameSHANNON K REEDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MD  R131534)
Enumeration Date2005-08-30
Last Update Date2011-01-10
Business Address
-- SHANNON K IDZIK CRNP
655 W LOMBARD ST 345
BALTIMORE, MD 21201-1512
Phone number: 410-706-8129
Mailing Address
-- SHANNON K IDZIK CRNP
655 W LOMBARD ST 345
BALTIMORE, MD 21201-1512
Phone number: 410-706-8129
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