Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON K IDZIK, CRNP
ActiveSHANNON K IDZIK, CRNP is a Primary Care Nurse Practitioner healthcare provider located in BALTIMORE, Maryland. NPI 1467445924 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BALTIMORE, MD
Registration Details
- NPI Number
- 1467445924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2005 (20.912390051796 yrs)
- Last Updated
- Jan 10, 2011
- License
-
R131534 (MD)
Practice Information
- Address
-
655 W LOMBARD ST345BALTIMORE, MD, 212011512Browse MD providers · Browse ZIP 21201
- Phone
- 4107068129
- Fax
- 4107060344
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| MAUREEN ANNE KELLEY | CRNP | 1538162516 |
| PETER JAMES NORMANDT | NP | 1205898954 |
| TANITA ROCHELLE WOODSON | C.R.N.P. | 1881647519 |
| SAUNDRA GORALSKI | CRNP | 1982649851 |
| MS. AMY MARIE EMERLING | CRNP | 1447387592 |
| MR. JOSEPH JOHN LARIVEY | CRNP | 1164558581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.