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Individual

SHANNON WALLER DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 977-7455
Mailing address
6420 CLAYTON RD STE 290, SAINT LOUIS, MO 63117-1811
(314) 781-8605
(314) 781-2840

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2018010192
MO
367A00000X
Advanced Practice Midwife
IL

Other

Enumeration date
10/21/2015
Last updated
02/05/2021
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