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Shannon D Carlisle
Family Nurse Practitioner in Laurel, Maryland
NPI 1538933221

Shannon D Carlisle is a Family Nurse Practitioner based in Fort Washington, MD and is specialized in Family. Shannon D Carlisle practices in Laurel, MD. The NPI Number for Shannon D Carlisle is 1538933221 and holds a License No. R217859 (Maryland).

The current practice location address for Shannon D Carlisle is 372 Main Street, Laurel, MD and can be reached out via phone at 240-294-4079.

Location: 372 Main Street, Laurel, MD, 20744-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538933221
Provider Name
Shannon D Carlisle
Credential
Provider Entity Type
Individual
Gender
Female
Address
372 Main Street, Laurel, MD, 20744-2306
Phone Number
240-294-4079
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
372 Main Street
City
Laurel
State
Maryland
Zip
20707
Phone Number
240-294-4079
Fax Number
person
Provider Business Mailing Address Details
Address
372 Main Street
City
Laurel
State
Maryland
Zip
20707
Phone Number
240-294-4079
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R217859 (Maryland)
Definition
Definition to come...
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