Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWNA KELLY-WICKERSHEIM, CPM
Active Sole ProprietorSHAWNA KELLY-WICKERSHEIM, CPM is a Midwife healthcare provider located in PRINEVILLE, Oregon. NPI 1528499001 is currently active in the NPPES registry. Verify at CMS.
Midwife · PRINEVILLE, OR
Registration Details
- NPI Number
- 1528499001
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2013 (12.652120260667 yrs)
- Last Updated
- Dec 9, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
591 NE 2ND STPRINEVILLE, OR, 977542014Browse OR providers · Browse ZIP 97754
- Phone
- 5415506200
- Fax
- 5414474118
- Primary Specialty
-
Midwife
176B00000X
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.