Individual
SHALA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 254-8654
(580) 254-8660
Mailing address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 254-8654
(580) 254-8660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0114498
OK
174N00000X
Lactation Consultant (Non-RN)
Primary
L-307395
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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