SHANNON HOLDER DNP NP-C PMHNP-BC NPI 1477974764

NPI Information

  • NPI: 1477974764
  • Provider Name: SHANNON HOLDER, DNP, NP-C, PMHNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1916 CRAIN HWY S STE 2
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 793-7252

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NPI Details

Shannon Holder, DNP, NP-C, PMHNP-BC is a family nurse practitioner in Glen Burnie, MD with 12 years of experience. Shannon Holder, DNP, NP-C, PMHNP-BC NPI is 1477974764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1916 CRAIN HWY S STE 2
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 793-7252

The NPI 1477974764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR170448MARYLANDNo
2363LF0000XNurse PractitionerFamilyR170448MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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