Shannon Acquaviva
NPI #1811403868 in Perry Hall, Maryland
Provider Information
- NPI Number
- 1811403868
- Entity Type
- Individual
- Name
- Shannon Acquaviva
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 28, 2017
- Last Updated
- Dec 28, 2017
Practice Location
- Address
- 9733 HARVESTER CIR
- City
- Perry Hall
- State
- Maryland
- ZIP Code
- 21128-9027
- Phone
- (443) 415-3167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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