Individual
MRS. SHANNON LEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BS IBCLC
Contact information
Practice address
222 VISTA DR, MIFFLINBURG, PA 17844-7261
(570) 701-7123
Mailing address
222 VISTA DR, MIFFLINBURG, PA 17844-7261
(570) 701-7123
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN565957
PA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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