Individual
SHANNON L MAASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4011 OLD CLINIC BLDG CB#7570, CHAPEL HILL, NC 27599-3717
(919) 843-2490
(919) 843-6938
Mailing address
PO BOX 1357, FORT MYERS, FL 33902-1357
(239) 278-3600
(239) 278-3203
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
485
NC
367A00000X
Advanced Practice Midwife
Primary
ARNP9236921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307460900
—
FL
01
—
Y090M
BLUE CROSS
FL
Enumeration date
06/02/2006
Last updated
04/01/2021
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