Revit, Shannon

Revit, Shannon is an individual health care provider with primary practice located at 104 W Main St , Elkton MD 21921-5509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Revit, Shannon can be contacted via phone (410) 996-8990.

Contact Information

Primary practice address
104 W Main St Elkton MD 21921-5509
Phone: (410) 996-8990
Fax: (410) 996-8992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R230122 Maryland

Profile Details

NPI number 1184029720
LBN Legal business name Revit, Shannon
Credentials DNP, FNP-BC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Mar 27th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184029720 NPPES
Pennsylvania MEDICAID 1184029720

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