Shauna Pettis, ANP
Shauna Pettis, ANP is a Nurse Practitioner in Brandywine, Maryland. Qualified in 2020, 6 years ago. Practices with Southern Maryland Medical Group LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 6
- Licensed in
- MD
- In the registry since
- 2009
Practice location Address checks out
7450 Albert Rd Fl 2Brandywine, MD 20613-3035
Phone: (301) 888-2233
Fax: (301) 888-9133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence R215472 (MD) |
|---|
Record details
| NPI number | 1902133143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ANP |
| Sole proprietor | No |
| NPI enumerated | November 9, 2009 |
| Last updated in NPPES | February 16, 2023 |
| Certification date | February 16, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Southern Maryland Medical Group Llc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Brandywine
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George Patrick Glick, NP
7450 Albert Rd Fl 2, Brandywine, MD 20613-3035 · (301) 888-2233