Individual
SHELLI DAWN MANGIAMELI-MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPM
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
041533312
IL
176B00000X
Midwife
Primary
295000019
IL
Other
Enumeration date
04/29/2024
Last updated
02/08/2025
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