Individual
SHEENA M CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
9710 E US HIGHWAY 40, INDEPENDENCE, MO 64055-6116
(816) 313-6163
(816) 313-1232
Mailing address
11204 MYRTLE AVE, KANSAS CITY, MO 64137-2311
(530) 949-0692
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
12080012
MO
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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