Individual
SHANNON SICARD AXELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM MSN
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
R047004
ME
367A00000X
Advanced Practice Midwife
Primary
CNM82054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269350099
—
ME
Enumeration date
02/21/2007
Last updated
09/22/2025
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