Individual
MRS. WENDY LEE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
(407) 975-0407
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
1-099151
AL
176B00000X
Midwife
Primary
APRN11007527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03022056
—
MS
Enumeration date
03/09/2012
Last updated
08/13/2020
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