Holder, Shannon
Holder, Shannon is an sole proprietor health care provider with primary practice located at 1916 Crain Hwy S Ste 2 , Glen Burnie MD 21061. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holder, Shannon can be contacted via phone (410) 793-7252.Contact Information
Primary practice address
1916 Crain Hwy S Ste 2
Glen Burnie MD 21061
Phone: (410) 793-7252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R170448 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R170448 | Maryland |
Profile Details
| NPI number | 1477974764 |
|---|---|
| LBN Legal business name | Holder, Shannon |
| Credentials | DNP, NP-C, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2014 |
| Last updated | Nov 17th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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