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

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