Shannon K Idzik, CRNP

NPI #1467445924 in Baltimore, Maryland

Provider Information

NPI Number
1467445924
Entity Type
Individual
Name
Shannon K Idzik, CRNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Credential
CRNP
Enumeration Date
Aug 30, 2005
Last Updated
Jan 10, 2011

Practice Location

Address
655 W LOMBARD ST
Address 2
345
ZIP Code
21201-1512
Phone
(410) 706-8129

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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