Individual
MS. SHELLEY A. FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
425 E 1ST ST, BLOOMSBURG, PA 17815-1480
(570) 387-2474
(570) 387-2397
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN628593
PA
367A00000X
Advanced Practice Midwife
Primary
MW010248
PA
Other
Enumeration date
09/23/2011
Last updated
08/10/2020
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