Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Acquaviva

Individual provider Family Nurse Practitioner · NPI 1811403868

Shannon Acquaviva is a Family Nurse Practitioner in Perry Hall, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2017

Practice location Address checks out

9733 Harvester Cir
Perry Hall, MD 21128-9027
Phone: (443) 415-3167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R178155 (MD)

Record details

NPI number1811403868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2017
Last updated in NPPESDecember 28, 2017
Mailing address9733 Harvester Cir, Perry Hall, MD 21128-9027

Other providers in Perry Hall