Axelson, Shannon S

Axelson, Shannon S is an individual health care provider with primary practice located at 35 Medical Center Pkwy , Augusta ME 04330-8160. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Axelson, Shannon S can be contacted via phone (207) 621-9100.

Contact Information

Primary practice address
35 Medical Center Pkwy Augusta ME 04330-8160
Phone: (207) 621-9100
Fax: (207) 623-1462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X R047004 Maine
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM82054 Maine

Profile Details

NPI number 1275678484
LBN Legal business name Axelson, Shannon S
Credentials CNM MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275678484 NPPES
Maine MEDICAID 269350099

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