Individual
SHANLEE ROBERTSON COLLINWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
1148 E 2700 S APT H60, MILLCREEK, UT 84106-2647
(470) 588-6464
(801) 477-8451
Mailing address
1148 E 2700 S APT 60, SLC, UT 84106-2647
(470) 588-6464
(801) 477-8451
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
10513702-3400
UT
176B00000X
Midwife
LM218
AZ
374J00000X
Doula
—
—
Other
Enumeration date
09/07/2016
Last updated
03/27/2024
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