Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LA NEICE LORRAINE ABDEL-SHAKUR, CNM
Active Sole ProprietorAdvanced Practice Midwife · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1215098512
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2006 (19.38594647828 yrs)
- Last Updated
- Nov 3, 2014
- Licenses
-
704600 (CA)1906 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BODIN CIRDAVID GRANT MEDICAL CENTERTRAVIS AFB, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 7074235406
- Fax
- 7074237356
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
- Additional Specialty
- Advanced Practice Midwife
Other Advanced Practice Midwife Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| SARA MARIE FORREST JAIMES | CNM | 1750751905 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.