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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184029720 | NPPES |
| Pennsylvania | MEDICAID | 1184029720 |
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