Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHIRLEY LIN PACK, NURSE PRACTITIONER
Active Sole ProprietorMRS. SHIRLEY LIN PACK, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in ODENTON, Maryland. NPI 1619567906 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ODENTON, MD
Registration Details
- NPI Number
- 1619567906
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2021 (5.5546287834787 yrs)
- Last Updated
- Jan 21, 2021
- License
-
R199636 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 SUMMERTIME DRODENTON, MD, 211131590Browse MD providers · Browse ZIP 21113
- Phone
- 4102450210
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in ODENTON, MD
| Name | Credential | NPI |
|---|---|---|
| DR. SHAWNA SPEARS MUDD | DNP, CRNP | 1295788958 |
| BRITTNEY MARING | NP | 1457034035 |
| KENNICE ELISA RODNEY | CRNP | 1932929551 |
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.