Mccardle, Shana L

Mccardle, Shana L is an individual health care provider with primary practice located at 904 Campbell Street Suite 203, Williamsport PA 17701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Mccardle, Shana L can be contacted via phone (570) 327-9900.

Contact Information

Primary practice address
904 Campbell Street Suite 203 Williamsport PA 17701
Phone: (570) 327-9900
Fax: (570) 327-9400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9182579 Florida
Other Service Providers / Midwife 176B00000X MW010119 Pennsylvania

Profile Details

NPI number 1356376628
LBN Legal business name Mccardle, Shana L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 8th, 2010 - about 14 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 1356376628 NPPES
Florida MEDICAID 275914400

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