Individual
MRS. SHYANNE ROSELYNN SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1706 DELIVERY LN, DURANT, OK 74701-2292
(580) 745-5228
(580) 920-9976
Mailing address
PO BOX 579, DURANT, OK 74702-0579
(580) 745-5228
(580) 920-9976
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
772299
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
92357
OK
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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