Individual
SHANNON WOLFINBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1201 E. HWY 18, PINE RIDGE, SD 57770
(605) 867-3003
(605) 867-3305
Mailing address
PO BOX 1407, PINE RIDGE, SD 57770-1407
(909) 991-6062
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
05/19/2022
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