person
Ms. Sandra C. Shanahan, CRNP
Pediatric Nurse Practitioner in Hanover, Maryland
NPI 1033101928

Sandra C. Shanahan is a Pediatric Nurse Practitioner based in Millersville, MD and is specialized in Pediatrics. Sandra C. Shanahan practices in Hanover, MD and has the professional credentials of CRNP. The NPI Number for Sandra C. Shanahan is 1033101928 and holds a License No. R121329 (Maryland).

The current practice location address for Sandra C. Shanahan is 7556 Teague Road, Hanover, MD and can be reached out via phone at 410-551-0499 and via fax at 410-799-9070.

Location: 7556 Teague Road, Hanover, MD, 21108-3002
person
Provider Profile Details
NPI Number
1033101928
Provider Name
Sandra C. Shanahan
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
7556 Teague Road, Hanover, MD, 21108-3002
Phone Number
410-551-0499
Fax Number
410-799-9070
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
641932-02 01 MD CAREFIRST MD RENDERING OD
405743100 05 MD
7605-0067 01 MD CAREFIRST BLUECHOICE
107916 01 MD JHHC PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
7556 Teague Road
City
State
Zip
21076
Phone Number
410-551-0499
Fax Number
410-799-9070
person
Provider Business Mailing Address Details
Address
7556 Teague Road
City
State
Zip
21076
Phone Number
410-551-0499
Fax Number
410-799-9070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R121329 (Maryland)
Definition
Definition to come...
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