SHANNON ACQUAVIVA
NPI 1811403868
Nurse Practitioner - Family in Perry Hall, MD

Q: What is Shannon Acquaviva's NPI number?

The NPI number for Shannon Acquaviva is 1811403868. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Q: What is Shannon Acquaviva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Acquaviva was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2017

9733 HARVESTER CIR, PERRY HALL, MD 21128(443) 415-3167 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Shannon Acquaviva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON ACQUAVIVA (NPI 1811403868) is an individual family provider in Perry Hall, Maryland, licensed in Maryland (R178155) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1811403868

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON ACQUAVIVA

Location Address9733 HARVESTER CIRPerry Hall, MD 21128-9027

Mailing Address9733 Harvester CirPerry Hall, MD 21128-9027 · (443) 725-4763

Phone(443) 415-3167

Sole ProprietorYes

Enumeration DateDecember 28, 2017

✔ NPI 1811403868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R178155

9733 HARVESTER CIR, Perry Hall, MD 21128

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Acquaviva's NPI number?

The NPI number for Shannon Acquaviva is 1811403868. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Shannon Acquaviva located?

Shannon Acquaviva practices at 9733 Harvester Cir, Perry Hall, MD 21128. The listed phone number is (443) 415-3167.

What is Shannon Acquaviva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Acquaviva was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.