SHANNON IDZIK, CRNP
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1467445924
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | R131534 (MD) |
Frequently Asked Questions
NPI 1467445924 is the National Provider Identifier for SHANNON IDZIK, CRNP, a Nurse Practitioner - Primary Care provider located in Baltimore, MD. This NPI was enumerated on August 30, 2005.
SHANNON IDZIK, CRNP practices at 655 W LOMBARD ST, 345, Baltimore, MD 21201.
Quick Facts
- NPI
- 1467445924
- Type
- Individual
- Enumerated
- Aug 30, 2005
- Last Updated
- Jan 10, 2011
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