SHANNON WALLER DAVIS

SAINT LOUIS, MO
NPI1063884799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MO  2018010192)
Additional Taxonomies367A00000X Advanced Practice Midwife
Enumeration Date2015-10-21
Last Update Date2021-02-05
Business Address
SHANNON WALLER DAVIS CNM
1031 BELLEVUE AVE STE 400
SAINT LOUIS, MO 63117-1858
Phone number: 314-977-7455
Mailing Address
SHANNON WALLER DAVIS CNM
6420 CLAYTON RD STE 290
SAINT LOUIS, MO 63117-1811
Phone number: 314-781-8605