person
Shauna Pettis, ANP
Adult Health Nurse Practitioner in Brandywine, Maryland
NPI 1902133143

Shauna Pettis is an Adult Health Nurse Practitioner based in Waldorf, MD and is specialized in Adult Health. Shauna Pettis practices in Brandywine, MD and has the professional credentials of ANP. The NPI Number for Shauna Pettis is 1902133143 and holds a License No. R215472 (Maryland).

The current practice location address for Shauna Pettis is 7450 Albert Rd Fl 2, Brandywine, MD and can be reached out via phone at 301-888-2233 and via fax at 301-888-9133. You can also correspond with Shauna Pettis through the mailing address at 11207 BARNSWALLOW PL APT E, WALDORF, MD - 20603-4837 (mailing address contact number: 414-748-7776).

Location: 7450 Albert Rd Fl 2, Brandywine, MD, 20603-4837
person
Provider Profile Details
NPI Number
1902133143
Provider Name
Shauna Pettis
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
7450 Albert Rd Fl 2, Brandywine, MD, 20603-4837
Phone Number
301-888-2233
Fax Number
301-888-9133
Provider Enumeration Date
11/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
444563500 05 MD
institution
Provider Business Practice Location Address Details
Address
7450 Albert Rd Fl 2
City
State
Zip
20613-3035
Phone Number
301-888-2233
Fax Number
301-888-9133
person
Provider Business Mailing Address Details
Address
7450 Albert Rd Fl 2
City
State
Zip
20613-3035
Phone Number
301-888-2233
Fax Number
301-888-9133
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R215472 (Maryland)
Definition
Definition to come...
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