Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LMW-0101 | SC |
NPI | 1164183794 |
---|---|
Provider Name | Shannen Sherrill |
First Address | Fort Mill, SC 29715-1838 |
Second Address | Fort Mill, SC 29715-1838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2022 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19110015 | NORTH AMERICAN REGISTRY OF MIDWIVES (01) |