Breanne Nicole Shults, CDM

NPI #1316246127 in Palmer, Alaska

Provider Information

NPI Number: 1316246127
Entity Type: Individual
Name: Breanne Nicole Shults, CDM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife
Credential: CDM
Enumeration Date: Mar 18, 2011
Last Updated: Apr 1, 2011

Practice Location

Address: 2150 S NISSEN DR
City: Palmer
State: Alaska
ZIP Code: 99645-9069
Phone: (907) 982-5723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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