Individual
SHANNON GAIL MARKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
413 W 100 N, VALPARAISO, IN 46385-9230
(219) 628-6452
Mailing address
413 W 100 N, VALPARAISO, IN 46385-9230
(219) 628-6452
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000227A
IN
367A00000X
Advanced Practice Midwife
Primary
71004370A
IN
Other
Enumeration date
03/22/2013
Last updated
08/08/2024
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