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Shannon Burdeshaw, CPM

Midwife in Wilmington, DE. Individual provider (NPI-1).

NPI number1154875268
StatusActive
Last updated in NPPESAug 5, 2016

Details

NPI
1154875268
Entity type
Individual (NPI-1)
Name
Shannon Burdeshaw
Credential
CPM
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2016
Last updated
Aug 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X MidwifeCW0000002DEYes

Practice location

1209 W 8th St
Apt. 3
Wilmington, DE 19806-4667

Phone 256-975-3932

Mailing address

1209 W 8th St
Apt. 3
Wilmington, DE 19806-4667

Phone 256-975-3932

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