Shannon Acquaviva, in Perry Hall, MD

Shannon Acquaviva, is a Nurse Practitioner - Family based in Perry Hall, Maryland. Shannon Acquaviva is licensed to practice in Maryland (license number R178155) and her current practice location is 9733 Harvester Cir, Perry Hall, Maryland. She can be reached at her office (for appointments etc.) via phone at (443) 415-3167.

NPI number for Shannon Acquaviva is 1811403868 and her current mailing address is 9733 Harvester Cir, Perry Hall, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811403868.

Contact Information

	Shannon Acquaviva,
	9733 Harvester Cir, Perry Hall, MD 21128-9027
	(443) 415-3167
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Acquaviva
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9733 Harvester Cir, Perry Hall, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1811403868
Provider Enumeration Date: 12/28/2017
Last Update Date: 12/28/2017

Medical Identifiers

Medical identifiers for Shannon Acquaviva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811403868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R178155 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Acquaviva is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon Acquaviva, 9733 Harvester Cir, Perry Hall, MD 21128-9027 Ph: (443) 725-4763	Shannon Acquaviva, 9733 Harvester Cir, Perry Hall, MD 21128-9027 Ph: (443) 415-3167

Reviews and Comments

Nurse Practitioner Nurses in Perry Hall, MD

Mrs. Joelle Babula Butler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5009 Honeygo Center Dr, Suite 216, Perry Hall, MD 21128 Phone: 410-256-5858 Fax: 410-529-2431
Mrs. Kathryn Michele Jenkins, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5009 Honeygo Center Dr Ste 200, Perry Hall, MD 21128 Phone: 443-910-7299
Iyobosa Joan Obasogie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5004 Honeygo Center Dr Ste 102-138, Perry Hall, MD 21128 Phone: 443-987-6815
Theresa K Miley, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5009 Honeygo Center Dr, Perry Hall, MD 21128 Phone: 443-725-2120
Irene W. Njuguna, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4307 Silver Spring Rd, Perry Hall, MD 21128 Phone: 410-948-5355
Dr. Lisa Brown, DNP, PMHNP, FNP-NC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5004 Honeygo Center Dr Ste 102-197, Perry Hall, MD 21128 Phone: 410-929-6858 Fax: 442-222-8957
Mrs. Caren R Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5009 Honeygo Center Drive, Suite 225, Perry Hall, MD 21128 Phone: 443-725-2100 Fax: 443-725-2121

Shannon Acquaviva, - Nurse Practitioner in Perry Hall, MD