NPI 1063884799

Shannon Waller Davis, CNM

Practitioner Advanced Practice Midwife Saint Louis, MO

Practice location

Address: 1031 Bellevue Ave STE 400, Saint Louis, MO 63117-1858
Phone: (314) 977-7455
Mailing address: 6420 Clayton Rd STE 290, Saint Louis, MO 63117-1811

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 2018010192 (MO)

Other Advanced Practice Midwife providers in Missouri →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Registry record

NPI: 1063884799
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2015
Record last updated: 5 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.