Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON DOYLE TIEDEKEN, MD
Active Sole ProprietorSHANNON DOYLE TIEDEKEN, MD is a Pediatrics healthcare provider located in GLEN MILLS, Pennsylvania. NPI 1225395999 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GLEN MILLS, PA
Registration Details
- NPI Number
- 1225395999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2012 (14.300844431247 yrs)
- Last Updated
- Mar 17, 2017
- License
-
MD454113 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 APPLIED BANK BLVD STE 11NEMOURS DUPONT PEDIATRICS, GLEN MILLS URGENT CAREGLEN MILLS, PA, 193423501Browse PA providers · Browse ZIP 19342
- Phone
- 4848008630
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GLEN MILLS, PA
| Name | Credential | NPI |
|---|---|---|
| DR. DARCY L. HAYES | MD | 1578553475 |
| DR. DEBRA ZUSSMAN | MD | 1568484954 |
| DR. MICHAEL DREYER | MD | 1740202092 |
| DR. BETHANY KUTZ | MD | 1477575819 |
| UNA BREWER | MD | 1326139593 |
| KATHLEEN MARIE GALLATIG | M.D. | 1134244874 |
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.