Individual
SUSAN D SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
50 AMERICA RD, SHARON, CT 06069
(860) 364-0536
(860) 364-1299
Mailing address
PO BOX 1040, SHARON, CT 06069
(860) 364-0536
(860) 364-1299
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000246
CT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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