Biesterfeld, Shannon Nicole

Biesterfeld, Shannon Nicole is an individual health care provider with primary practice located at 1647 Woodbrooke Dr , Salisbury MD 21804-8502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Biesterfeld, Shannon Nicole can be contacted via phone (410) 546-2424.

Contact Information

Primary practice address
1647 Woodbrooke Dr Salisbury MD 21804-8502
Phone: (410) 546-2424
Fax: (410) 742-6633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R250339 Maryland

Profile Details

NPI number 1972062891
LBN Legal business name Biesterfeld, Shannon Nicole
Credentials CRNM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2019
Last updated Jan 19th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972062891 NPPES
Maryland MEDICAID 119591300

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