MRS. Shannon Liedquist Tieman, CRNP
NPI #1326436254 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1326436254
- Entity Type
- Individual
- Name
- MRS. Shannon Liedquist Tieman, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- CRNP
- Enumeration Date
- Dec 30, 2014
- Last Updated
- Jun 6, 2023
Practice Location
- Address
- 7310 RITCHIE HWY STE 516
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-3099
- Phone
- (844) 387-7469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Adult Health — Adult Health |
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