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

SHANNON MOORE-SHABAZZ, DOULA/BIRTH WORKER

Active Sole Proprietor

SHANNON MOORE-SHABAZZ, DOULA/BIRTH WORKER is a Community Health Worker healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1730505025 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · PHILADELPHIA, PA

Registration Details

NPI Number
1730505025
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2014 (12.243617086463 yrs)
Last Updated
Mar 11, 2014
Sole Proprietor
Yes

Practice Information

Address
6313 N FAIRHILL ST
PHILADELPHIA, PA, 191263846
Browse PA providers · Browse ZIP 19126
Phone
2674718648
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
1744G0900X

Other Community Health Worker Providers in PHILADELPHIA, PA

Name Credential NPI
MR. DANIEL ALBERT LEONARD PHYSICAL THERAPIST 1760659098
DR. BENJAMIN BENDER MD 1275784704
MR. CARLOS M MORALES MITTI B.A. 1740416320
MS. AVA ADAMES 1801129457
DONNA M ALEXANDER 1154691731
DERRICK MATHIS 1093086688
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.