Individual
SHANA L MCCARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
904 CAMPBELL STREET, SUITE 203, WILLIAMSPORT, PA 17701
(570) 327-9900
(570) 327-9400
Mailing address
904 CAMPBELL STREET, SUITE 203, WILLIAMSPORT, PA 17701
(570) 327-9900
(570) 327-9400
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW010119
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9182579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275914400
—
FL
Enumeration date
07/12/2006
Last updated
09/08/2010
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