SHANNON D CARLISLE

LAUREL, MD
NPI1538933221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R217859)
Enumeration Date2023-11-13
Last Update Date2023-11-13
Business Address
SHANNON D CARLISLE
372 MAIN STREET
LAUREL, MD 20707
Phone number: 240-294-4079
Mailing Address
SHANNON D CARLISLE
3019 BRODKIN AVE
FORT WASHINGTON, MD 20744-2306
Phone number: