Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA SHANTELL CARSON
Active Sole ProprietorBirthing Center · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1578075313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2017 (8.4695127213923 yrs)
- Last Updated
- Mar 17, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
615 S NEW BALLAS RDSAINT LOUIS, MO, 631418221Browse MO providers · Browse ZIP 63141
- Phone
- 3142516000
- Primary Specialty
-
Birthing Center
261QB0400X
- Additional Specialty
- Midwife, Lay
- Additional Specialty
- Non-Surgical Family Planning Clinic
- 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.