Waller Davis, Shannon

Waller Davis, Shannon is an individual health care provider with primary practice located at 1031 Bellevue Ave Ste 400 , Saint Louis MO 63117-1858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Waller Davis, Shannon can be contacted via phone (314) 977-7455.

Contact Information

Primary practice address
1031 Bellevue Ave Ste 400 Saint Louis MO 63117-1858
Phone: (314) 977-7455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2018010192 Missouri

Profile Details

NPI number 1063884799
LBN Legal business name Waller Davis, Shannon
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Feb 5th, 2021 - about 3 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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