SearchIndiana163W00000X

Shanna Davis

NPI 1952996688 · on the registry since 2021

Practice

Address
12 Laura Nell Ln
Valparaiso, IN 46383
Phone
(219) 242-1093

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana