Individual
MRS. HEIDI NICHOLE SHULISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBE,CD(DONA)
Contact information
Practice address
110 E WEA ST, PAOLA, KS 66071-1732
(913) 710-4205
Mailing address
110 E WEA ST, PAOLA, KS 66071-1732
(913) 710-4205
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/12/2009
Last updated
12/12/2009
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