Individual
SHANTRICE NIOMI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 924-2254
Mailing address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 924-2254
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F002221
NY
367A00000X
Advanced Practice Midwife
Primary
F002221
NY
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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