person
Shannon K Idzik, CRNP
Primary Care Nurse Practitioner in Baltimore, Maryland
NPI 1467445924

Shannon K Idzik is a Primary Care Nurse Practitioner based in Baltimore, MD and is specialized in Primary Care. Shannon K Idzik practices in Baltimore, MD and has the professional credentials of CRNP. The NPI Number for Shannon K Idzik is 1467445924 and holds a License No. R131534 (Maryland).

The current practice location address for Shannon K Idzik is 655 W Lombard St, Baltimore, MD and can be reached out via phone at 410-706-8129 and via fax at 410-706-0344.

Location: 655 W Lombard St, Baltimore, MD, 21201-1512
person
Provider Profile Details
NPI Number
1467445924
Provider Name
Shannon K Idzik
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
655 W Lombard St, Baltimore, MD, 21201-1512
Phone Number
410-706-8129
Fax Number
410-706-0344
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
655 W Lombard St
City
State
Zip
21201-1512
Phone Number
410-706-8129
Fax Number
410-706-0344
person
Provider Business Mailing Address Details
Address
655 W Lombard St
City
State
Zip
21201-1512
Phone Number
410-706-8129
Fax Number
410-706-0344
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
R131534 (Maryland)
Definition
Definition to come...
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