Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MN | |
N | 176B00000X | Midwife | 143-49 | WI |
NPI | 1003159377 |
---|---|
Provider Name | Rachel Irit Shapiro |
First Address | Saint Louis Park, MN 55416-2703 |
Second Address | Saint Louis Park, MN 55416-2703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 07/05/2013 |