Individual
DIA SHEPARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM, LM
Contact information
Practice address
268 E BROADWAY APT A507, NEW YORK, NY 10002-5653
(917) 817-8873
Mailing address
268 E BROADWAY APT A507, NEW YORK, NY 10002-5653
(917) 817-8873
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001749-1
NY
374J00000X
Doula
—
NY
Other
Enumeration date
07/02/2012
Last updated
11/04/2016
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