Individual
SHANNON HALEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 FORTUNE DR, DAYTON, NV 89403-7362
(435) 714-9403
Mailing address
142 FORTUNE DR, DAYTON, NV 89403-7362
(435) 714-9403
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
NV
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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