Provider Demographics
NPI:1356041339
Name:SHAHIN, KATRIN (NURSE)
Entity type:Individual
Prefix:MRS
First Name:KATRIN
Middle Name:
Last Name:SHAHIN
Suffix:
Gender:
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 REDFIELD CT
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5509
Mailing Address - Country:US
Mailing Address - Phone:443-416-8241
Mailing Address - Fax:
Practice Address - Street 1:19 REDFIELD CT
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5509
Practice Address - Country:US
Practice Address - Phone:443-416-8241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR235727163W00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse