Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ACQUAVIVA
Active Sole ProprietorSHANNON ACQUAVIVA is a Family Nurse Practitioner healthcare provider located in PERRY HALL, Maryland. NPI 1811403868 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PERRY HALL, MD
Registration Details
- NPI Number
- 1811403868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2017 (8.60910869593 yrs)
- Last Updated
- Dec 28, 2017
- License
-
R178155 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9733 HARVESTER CIRPERRY HALL, MD, 211289027Browse MD providers · Browse ZIP 21128
- Phone
- 4434153167
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in PERRY HALL, MD
| Name | Credential | NPI |
|---|---|---|
| SORA LEE | — | 1811608912 |
| MS. KENDRA GENELLE ISAAC | NP | 1831059435 |
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.