Individual
SHANNON L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
175 E BROWN ST, SUITE 113, EAST STROUDSBURG, PA 18301-3098
(570) 421-3401
(570) 421-0560
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT, EAST STROUDSBURG, PA 18301-3006
(570) 420-4951
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010264
PA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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