Shannon Marie Johnson
Individual provider Active NPI Doula · Alanson, MI
NPI 1972287571 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1972287571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 4099 Kuebler Dr
Alanson, MI 49706-9432 - Phone
- (231) 330-9431
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
4099 Kuebler Dr
Alanson, MI 49706-9432
Mailing address
4099 Kuebler Dr
Alanson, MI 49706-9432
Phone (231) 330-9431
Other providers in Alanson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.