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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA SHANTELL CARSON

Active Sole Proprietor

CARISSA SHANTELL CARSON is a Birthing Center healthcare provider located in SAINT LOUIS, Missouri. NPI 1578075313 is currently active in the NPPES registry. Verify at CMS.

Birthing Center · SAINT LOUIS, MO

Registration Details

NPI Number
1578075313
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2017 (8.7914766967116 yrs)
Last Updated
Mar 17, 2018
Sole Proprietor
Yes

Practice Information

Address
615 S NEW BALLAS RD
SAINT LOUIS, MO, 631418221
Browse MO providers · Browse ZIP 63141
Phone
3142516000
Primary Specialty
Birthing Center
261QB0400X
Additional Specialty
Midwife, Lay
Additional Specialty
Birthing Center
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.