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Individual
MS. LAUREN ALEXANDRA SHADDOX
Active
Individual
MS. LAUREN ALEXANDRA SHADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704427387
MI
163W00000X
Registered Nurse
872512
TX
367A00000X
Advanced Practice Midwife
Primary
1096842
TX
367A00000X
Advanced Practice Midwife
1096846
TX
367A00000X
Advanced Practice Midwife
Primary
4704427387
MI
Other
Enumeration date
09/09/2022
Last updated
10/10/2026
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